Active NPI
Weleetka Graham EMS
- Basic Emergency Medical Technician
- Weleetka, OK
National Provider Identifier
1841340643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 427
- Legal business name
- WELEETKA GRAHAM EMS
- Practice address
- 115 East 9TH St
Weleetka, OK 74880-0445 - Phone
- (405) 786-2200
- NPI assigned
- Jan 12, 2007
- 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
- Anne S Absher
- Title
- Director of Opperations
- Phone
- (405) 786-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 427 | OK | Primary |
Addresses
Primary practice location
115 East 9TH St
Weleetka, OK 74880-0445
Mailing address
PO Box 445
Weleetka, OK 74880-0445
Phone (405) 786-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100819030-A | Medicaid | OK |
Other names 1
- WELEETKA GRAHAM EMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1841340643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "WELEETKA",
"state": "OK",
"postal_code": "748800445",
"telephone_number": "405-786-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 EAST 9TH ST",
"city": "WELEETKA",
"state": "OK",
"postal_code": "748800445",
"telephone_number": "405-786-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELEETKA GRAHAM EMS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ABSHER",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR OF OPPERATIONS",
"authorized_official_telephone_number": "405-786-2200"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "OK",
"license": "427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100819030-A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WELEETKA GRAHAM EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weleetka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.