Organization Active NPI

Wadley'S EMS Inc

  • Land Ambulance
  • Purcell, OK
National Provider Identifier
1801895362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0384 Issued in OK
Legal business name
WADLEY'S EMS INC
Practice address
400 W Washington St
Purcell, OK 73080-4016
Phone
(405) 527-5555
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jackie L Wadley
Title
Owner
Phone
(405) 527-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0384 OK Primary

Addresses

Primary practice location

400 W Washington St
Purcell, OK 73080-4016

Mailing address

PO Box 997
Purcell, OK 73080-0997
Phone (405) 527-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000222 OK Part B Supplier - Ambulance Service Supplier 1153220108 Practice locations: Purcell, OK

National Provider Directory

National Provider Directory

Locations

400 W Washington St
Purcell, OK 73080
Phone (405) 527-5555

402 W Washington St
Purcell, OK 73080
Phone (405) 527-5555

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801895362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730800997",
            "telephone_number": "405-527-5555",
            "fax_number": "405-527-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W WASHINGTON ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804016",
            "telephone_number": "405-527-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADLEY'S EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-527-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "0384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.