NPIMap

Organization Active NPI

Walters Volunteer Ambulance

  • Land Ambulance
  • Walters, OK
National Provider Identifier
1699833798
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS198 Issued in OK
Legal business name
WALTERS VOLUNTEER AMBULANCE
Practice address
119 S Broadway
Walters, OK 73572-2032
Phone
(580) 875-2400
Fax
(580) 875-3574
NPI assigned
Dec 4, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eva Virginia Fryer, RN EMT DIRECTOR
Title
Director
Phone
(580) 875-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS198 OK Primary

Addresses

Primary practice location

119 S Broadway
Walters, OK 73572-2032

Mailing address

PO Box 394
Walters, OK 73572-2032
Phone (580) 875-2400

Other identifiers 1

IdentifierTypeStateIssuer
100818300AMedicaidOK

National Provider Directory

National Provider Directory

Locations

119 S Broadway St
Walters, OK 73572
Phone (580) 875-2400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1699833798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735722032",
            "telephone_number": "580-875-2400",
            "fax_number": "580-875-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735722032",
            "telephone_number": "580-875-2400",
            "fax_number": "580-875-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-875-2400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN EMT DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100818300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walters, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.