Emergency Medical Service Comprising Independent School Dist. #1

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS222 Issued in PR

Legal business name

EMERGENCY MEDICAL SERVICE COMPRISING INDEPENDENT SCHOOL DIST. #1

Doing business as

McClain-Grady County EMS

Practice address

211 Westblanchard Drive
Blanchard, OK 73010-0430

Phone

(405) 485-2000

Fax

(405) 485-2010

NPI assigned

Aug 20, 2006

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Robinson, BSN, RN, NREMT-P

Title

Director

Phone

(405) 485-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McClain-Grady County EMS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1699880765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730100430",
            "telephone_number": "405-485-2000",
            "fax_number": "405-485-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WESTBLANCHARD DRIVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730100430",
            "telephone_number": "405-485-2000",
            "fax_number": "405-485-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SERVICE COMPRISING INDEPENDENT SCHOOL DIST. #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-485-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "EMS222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100818950A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590006071",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Blanchard",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 WestBlanchard Drive",
            "city": "Blanchard",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730100430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McClain-Grady County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McClain-Grady County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Blanchard, OK
• Providers in Blanchard, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.