Organization Active NPI

Medic West L.L.C

  • Ambulance
  • El Reno, OK
National Provider Identifier
1841425675
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MEDIC WEST L.L.C
Practice address
1812 Cheryl Dr
El Reno, OK 73036-6306
Phone
(405) 627-5465
Fax
(405) 262-6191
NPI assigned
May 22, 2009
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Raymond Lee Simpson Jr., NREMT-P,RN
Title
Director
Phone
(405) 627-5465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OK Primary

Addresses

Primary practice location

1812 Cheryl Dr
El Reno, OK 73036-6306

Mailing address

1812 Cheryl Dr
El Reno, OK 73036-6306
Phone (405) 627-5465

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841425675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 CHERYL DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730366306",
            "telephone_number": "405-627-5465",
            "fax_number": "405-262-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 CHERYL DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730366306",
            "telephone_number": "405-627-5465",
            "fax_number": "405-262-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC WEST L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-627-5465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NREMT-P,RN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.