Southern Oklahoma Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS064 Issued in OK

Legal business name

SOUTHERN OKLAHOMA AMBULANCE SERVICE, INC.

Practice address

517 Grand Ave
Ardmore, OK 73401-4338

Phone

(580) 223-1226

Fax

(580) 226-7154

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bob W. Hargis, CCEMT-P

Title

Executive Director

Phone

(580) 223-1226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Southern Ok Ambulance Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Ok. Ambulance Service, Inc.

  • Land Ambulance
  • Ardmore, OK
  • NPI 1982660429
  NPD tax ID

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891735866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 GRAND AVE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014338",
            "telephone_number": "580-223-1226",
            "fax_number": "580-226-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GRAND AVE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734014338",
            "telephone_number": "580-223-1226",
            "fax_number": "580-226-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-223-1226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCEMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Family Services, Inc.
• Jade Southerland
• Southern Ok. Ambulance Service, Inc.
• Southern Okla Surgical Services
• Southern Oklahoma Diagnostic Center, LLC
• Southern Oklahoma Ear Nose Throat and Allgery Clinic Inc
• Southern Oklahoma Kidney Center Inc
• Southern Oklahoma Lifestyles and Preventative Medicine
• Southern Oklahoma Multiple Services Inc P C

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

• 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.