City of Mannford

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS093 Issued in OK

Legal business name

CITY OF MANNFORD

Practice address

300 Coonrod
Mannford, OK 74044

Phone

(918) 865-2666

NPI assigned

Apr 18, 2006

Last updated

Apr 25, 2014By 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

Carolyn Smythe, EMTB

Title

EMS Director

Phone

(918) 865-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mannford Ambulance Service Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1801851472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "address_2": "300 COONROD",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740440327",
            "telephone_number": "918-865-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COONROD",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "74044",
            "telephone_number": "918-865-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MANNFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "918-865-2666",
        "authorized_official_credential": "EMTB"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannford Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.