Active NPI
Town of Colbert
- Ambulance
- Colbert, OK
National Provider Identifier
1740405117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 125
- Legal business name
- TOWN OF COLBERT
- Practice address
- 705 Moore Ave
Colbert, OK 74733 - Phone
- (580) 296-2000
- Fax
- (580) 296-2100
- NPI assigned
- Apr 13, 2007
- Last updated
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Norris
- Title
- EMS Director
- Phone
- (580) 980-0958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 125 | OK | Primary |
Addresses
Primary practice location
705 Moore Ave
Colbert, OK 74733
Mailing address
PO Box 646021
Dallas, TX 75264-6021
Phone (580) 296-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100818390A | Medicaid | OK |
Other names 1
- Colbert EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051128000044 | OK | Part B Supplier - Ambulance Service Supplier | 4082634704 | Practice locations: Colbert, OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1740405117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 646021",
"city": "DALLAS",
"state": "TX",
"postal_code": "752646021",
"telephone_number": "580-296-2000",
"fax_number": "580-296-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 MOORE AVE",
"city": "COLBERT",
"state": "OK",
"postal_code": "74733",
"telephone_number": "580-296-2000",
"fax_number": "580-296-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF COLBERT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "580-980-0958"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OK",
"license": "125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100818390A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colbert EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colbert, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.