EMERGENCY MEDICAL TRANSPORT TEAM OF RURAL OKLAHOMA (NPI# 1104812460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104812460 |
| Entity Type | Organization |
| Organization Name | EMERGENCY MEDICAL TRANSPORT TEAM OF RURAL OKLAHOMA |
| Other Organization Name | EMTRO |
| Practice Address |
1413 Barta Street Prague OK 74864 |
| Mailing Address |
3552 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 4055672437 |
| Practice Fax Number | 4055670077 |
| Mailing Telephone | 4055672437 |
| Mailing Fax Number | 4055670077 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL R SCHUSTER (PRESIDENT) |
| Authorized Official Telephone | 4055672437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS365 | OK | Transportation Services |
| Other Name | Type Code |
|---|---|
| EMTRO | Doing Business As Name - Organization |
| Street Address |
1413 BARTA STREET |
| City | PRAGUE |
| State | OK |
| Zip Code | 74864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093098 | Bristow Endeavor Healthcare, LLC | Family Medicine | 1005 Mitacek Ave, Prague, OK 74864 | 2019-03-20 |
| 1699186817 | Helping Hands Home Care, Pllc | Case Management | 517 Jim Thorpe Blvd, Prague, OK 74864 | 2014-05-09 |
| 1386077121 | Jennifer Cook | Case Manager/Care Coordinator | 971 South Jim Thorpe Blvd, Prague, OK 74864 | 2013-08-15 |
| 1104103316 | Syretta Nikia Pittman | Case Manager/Care Coordinator | 1021 South Jim Thorpe Blvd, Prague, OK 74864 | 2011-11-16 |
| 1891009312 | Chasitee Qwinette Burdine | Contractor | 57533 Moccasin Trail Rd, Prague, OK 74864 | 2010-07-27 |
| 1689908261 | Charles Albert Cashman | Dentist | 1201 Jim Thorpe, Suite One, Prague, OK 74864 | 2009-09-29 |
| 1598911752 | Central Oklahoma Family Medical Center | Clinic/Center | Nbu 1706 Highway 99 South, Prague, OK 74864 | 2008-08-07 |
| 1679746234 | Mark Allen White | Counselor | 1025 Meadowbrook Ave, Prague, OK 74864 | 2008-04-03 |
| 1770751752 | Mary Ann Ward | Physician Assistant | 1322 Klabzuba Avenue, Prague, OK 74864 | 2008-02-13 |
| 1487837167 | Land of Hope | Community/Behavioral Health | 57523 Moccasin Trail Road, Prague, OK 74864 | 2007-12-17 |
| Find all providers in zip 74864 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241642 | United Emergency Medical Service LLC | Ambulance | 57811 Moccasin Trail Rd, Prague, OK 74864-1136 | 2016-08-31 |
| 1912961954 | Prague Rural Fir District No 6 | Ambulance | 109 S Railway Avenue, Prague, NE 68050 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285181610 | Comanche County Hospital Authority | Ambulance | 129 E Colorado St, Walters, OK 73572-1461 | 2016-09-01 |
| 1477902344 | Lifeguard Ambulance Service LLC | Ambulance | 1031 W 5th St, Elk City, OK 73644-5613 | 2016-06-10 |
| 1366829848 | City of New Cordell | Ambulance | 203 E Clay St, Cordell, OK 73632-5405 | 2015-05-04 |
| 1578802799 | Town of Carnegie | Ambulance | 6 W Ash St, Carnegie, OK 73015-1075 | 2013-02-07 |
| 1639421340 | Victory Ems, Inc | Ambulance | 1275 N Air Depot Blvd, Midwest City, OK 73110-3333 | 2012-10-04 |
| 1063773844 | Clv Enterprises, Inc. | Ambulance | 3108 Epperly Dr, Del City, OK 73115-3414 | 2012-06-07 |
| 1346512399 | Country Corner Fire District Inc | Ambulance | 6983 W 113th St N, Sperry, OK 74073-4008 | 2012-02-07 |
| 1013294982 | Aero Med, LLC | Ambulance | 7601 E Apache St Hngr 22, Tulsa, OK 74115-3721 | 2011-11-07 |
| 1740584184 | Comanche County Hospital Authority | Ambulance | 7892 Highway 277, Elgin, OK 73538-0000 | 2010-12-28 |
| 1073828737 | Se Ems of Oklahoma, LLC | Ambulance | 30177 W Choctaw Rd, Stigler, OK 74462-3558 | 2010-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.