EMERGENCY MEDICAL SERVICE A TRUST (NPI# 1104818434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104818434 |
| Entity Type | Organization |
| Organization Name | EMERGENCY MEDICAL SERVICE A TRUST |
| Practice Address |
1213 E 20th St Okmulgee OK 74447-6301 |
| Mailing Address |
Po Box 1056 Okmulgee OK 74447-1056 |
| Practice Telephone | 9187568563 |
| Practice Fax Number | 9187568564 |
| Mailing Telephone | 9187568563 |
| Mailing Fax Number | 9187568564 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. IRMA D WALKER (ADMINISTRATOR) |
| Authorized Official Telephone | 9187568563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS076 | OK | Transportation Services |
| Street Address |
1213 E 20TH ST |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| 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 |
|---|---|---|---|---|
| 1285181610 | Comanche County Hospital Authority | Ambulance | 129 E Colorado St, Walters, OK 73572-1461 | 2016-09-01 |
| 1891241642 | United Emergency Medical Service LLC | Ambulance | 57811 Moccasin Trail Rd, Prague, OK 74864-1136 | 2016-08-31 |
| 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 |
| 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.