City of Newkirk
Organization Active NPI Land Ambulance · Newkirk, OK
NPI 1962599191 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962599191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS108 (OK)
- Legal business name
- CITY OF NEWKIRK
- Practice address
- 106 S Maple Ave
106 S Maple
Newkirk, OK 74647-4025 - Phone
- (580) 362-3606
- Fax
- (580) 362-1131
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Jerry D Evans
- Title
- Fire Chief
- Phone
- (580) 362-3606
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070720000623 | OK | Part B Supplier - Ambulance Service Supplier | 5991806929 | Practice locations: Newkirk, OK |
National Provider Directory
Locations
106 S Maple Ave
Newkirk, OK 74647
Phone (580) 362-2117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS108 | OK | Yes |
Addresses
Primary practice location
106 S Maple Ave
106 S Maple
Newkirk, OK 74647-4025
Mailing address
PO Box 469
106 S Maple
Newkirk, OK 74647-0469
Phone (580) 362-3606
Other names
- NewkirkFire/EMS
Other providers in Newkirk, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.