NPIMap

Organization Active NPI

Town of Taloga

  • Land Ambulance
  • Taloga, OK
National Provider Identifier
1740245307
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS066 Issued in OK
Legal business name
TOWN OF TALOGA
Practice address
328 S. Broadway
Taloga, OK 73667-9800
Phone
(580) 328-5444
NPI assigned
Apr 18, 2006
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Alice Faye Bland
Title
EMS Director
Phone
(580) 328-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS066 OK Primary

Addresses

Primary practice location

328 S. Broadway
Taloga, OK 73667-9800

Mailing address

PO Box 307
Taloga, OK 73667-0307
Phone (580) 328-5444

Other identifiers 1

IdentifierTypeStateIssuer
100820290AMedicaidOK

Other names 1

  • Taloga Ambulance Service Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1740245307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "TALOGA",
            "state": "OK",
            "postal_code": "736670307",
            "telephone_number": "580-328-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S. BROADWAY",
            "city": "TALOGA",
            "state": "OK",
            "postal_code": "736679800",
            "telephone_number": "580-328-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TALOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "580-328-5444"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taloga Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.