CITY OF KONAWA (NPI# 1548578891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548578891 |
| Entity Type | Organization |
| Organization Name | CITY OF KONAWA |
| Other Organization Name | KONAWA EMS |
| Practice Address |
122 N Broadway St Konawa OK 74849-2232 |
| Practice Telephone | 5809252345 |
| Practice Fax Number | 5809253131 |
| Mailing Telephone | 5809252345 |
| Mailing Fax Number | 5809253131 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | MR. JESSE MATTHEW BROGDON (EMS DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 5809252345 |
| Authorized Official Credential | EMT INTERMEDIATE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS 011 | OK | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100818800A | 05 |
| Other Name | Type Code |
|---|---|
| KONAWA EMS | Doing Business As Name - Organization |
| Street Address |
122 N BROADWAY ST |
| City | KONAWA |
| State | OK |
| Zip Code | 74849-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680176 | Dave Garrett Herriman | Social Worker | 527 W Third Street, Konawa, OK 74849 | 2014-04-22 |
| 1518152529 | Tami Ranae Hernandez | Counselor | 527 West Third St, Konawa, OK 74849 | 2007-09-12 |
| 1427067859 | Erron Cody Proctor | Physician Assistant | 527 West 3rd St, Konawa, OK 74849 | 2006-08-05 |
| 1972519544 | Umar Saeed | Family Medicine | 527 West Third Street, Konawa, OK 74849 | 2006-08-01 |
| 1649485996 | Central Ok Family Med Ctr | Clinic/Center | 527 W 3rd St, Konawa, OK 74849 | 2007-05-11 |
| 1477683860 | Winifred Watson | Social Worker | 527 W 3rd St, Konawa, OK 74849 | 2007-03-06 |
| 1861574717 | Paul Tucker | Social Worker | 527 W 3rd St, Konawa, OK 74849 | 2006-10-19 |
| 1831291293 | Central Oklahoma Family Medical Center, Inc. | Clinic/Center | 527 West 3rd St, Konawa, OK 74849 | 2006-09-05 |
| 1972725828 | Larna Louise Tribbey | Counselor | 527 West Third Street, Konawa, OK 74849-0000 | 2007-05-02 |
| 1962407999 | Judy Pearce | Nurse Practitioner | 527 W 3rd St, Konawa, OK 74849-1415 | 2005-06-16 |
| Find all providers in zip 74849 | ||||
| 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.