Organization Active NPI

Southern Ok. Ambulance Service, Inc.

  • Land Ambulance
  • Ardmore, OK
National Provider Identifier
1982660429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS064 Issued in OK
Legal business name
SOUTHERN OK. AMBULANCE SERVICE, INC.
Practice address
517 Grand Ave
Ardmore, OK 73401-4338
Phone
(580) 223-1226
Fax
(580) 226-7154
NPI assigned
Apr 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 EMS Director
Phone
(580) 223-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS064 OK Primary

Addresses

Primary practice location

517 Grand Ave
Ardmore, OK 73401-4338

Mailing address

517 Grand Ave
Ardmore, OK 73401-4338
Phone (580) 223-1226

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982660429",
    "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 OK. AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "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 EMS 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": []
}

Other providers in Ardmore, OK

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.