Emergency Medical Services of Leflore County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

EMS303 Issued in OK

Legal business name

EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY

Practice address

1215 S. Broadway Avenue
Poteau, OK 74953-1025

Phone

(918) 647-9270

Fax

(918) 647-8525

NPI assigned

Oct 11, 2006

Last updated

Sep 17, 2024By 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. Alicia Petree

Title

Manager

Phone

(918) 635-3632

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1740379650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S. BROADWAY AVENUE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531025",
            "telephone_number": "918-647-9270",
            "fax_number": "918-647-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PETREE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-635-3632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": "EMS303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128323715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820150A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora L. Eckenberger, L.P.C.
• Corinne Yvonne Elkins
• Tracy Kent Ellis
• Erika Elmore
• Sierra Elmore
• Tammy England, BS
• Ella Evans
• Whitnie Evans, MED LPC US
• Martha Anne Evnas, BA
• Taylor Farley

• Public Health or Welfare Agency in Poteau, OK
• Providers in Poteau, OK by specialty
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.