United Emergency Medical Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UNITED EMERGENCY MEDICAL SERVICE LLC

Practice address

57811 Moccasin Trail Rd
Prague, OK 74864-1136

Phone

(405) 831-1180

NPI assigned

Aug 31, 2016

Last updated

Sep 22, 2016By 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

Diana WittenNPI 1639628365

Title

Vice President

Phone

(405) 831-1180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Witten

  • Health Educator
  • Prague, OK
  • NPI 1639628365
  NPD Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1891241642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57811 MOCCASIN TRAIL RD",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641136",
            "telephone_number": "405-831-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57811 MOCCASIN TRAIL RD",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748641136",
            "telephone_number": "405-831-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED EMERGENCY MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "WITTEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "405-831-1180"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Lee Sitter
• Kyle Spears
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• Vivian Tadlock
• Demetria Lavonna Tryon
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2456)
• Mary Ann Ward, PA-C
• Waypoint Mental Health Counseling, LLC
• Kaitlin Leann Webb
• Mark Allen White, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.