ELDORADO EMERGENCY MEDICAL SERVICE (NPI# 1568456689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568456689 |
| Entity Type | Organization |
| Organization Name | ELDORADO EMERGENCY MEDICAL SERVICE |
| Other Organization Name | ELDORADO EMS |
| Practice Address |
501 West C St Eldorado OK 73537-0043 |
| Mailing Address |
501 West C Eldorado OK 73537-0043 |
| Practice Telephone | 5806332404 |
| Mailing Telephone | 5806332404 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY J. GOODIN (FINANICAL OFFICER) |
| Authorized Official Telephone | 5806332404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | EMS103 | OK | Emergency Medical Service Providers |
| Other Name | Type Code |
|---|---|
| Eldorado EMS | Other Name - Individual/Organization |
| Street Address |
501 WEST C ST |
| City | ELDORADO |
| State | OK |
| Zip Code | 73537-0043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840636 | Brandon Cole Edwards | Nurse Practitioner | 1600 Crossroad School Rd, Eldorado, IL 62930-3142 | 2020-07-31 |
| 1083239503 | John Alan Attebury | Registered Nurse | 705 Bramlet St, Eldorado, IL 62930-1871 | 2020-06-10 |
| 1902449218 | Talitha R Fisher | Social Worker | 3410 Massey Rd, Eldorado, IL 62930-3029 | 2019-10-21 |
| 1528611613 | Madyson Elise Lyman | Dietitian, Registered | 1200 Pine St, Eldorado, IL 62930-1635 | 2019-07-18 |
| 1730651829 | Walker Lee Shavez | Licensed Practical Nurse | 420 Goolsby Rd, Eldorado, IL 62930-3647 | 2018-12-30 |
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1740728674 | Katie Rawlings | Licensed Practical Nurse | 72 Alexander St, Eldorado, IL 62930-3390 | 2017-02-11 |
| 1184162273 | Alexandra Jean Barton | Licensed Practical Nurse | 405 Country Acres Ln, Eldorado, IL 62930-3430 | 2017-02-08 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| Find all providers in ELDORADO | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554500 | Calera Fire Department | Emergency Medical Technician, Basic | 108 North Mckinely Avenue, Calera, OK 74730-1400 | 2014-06-26 |
| 1134467640 | Steven Price | Emergency Medical Technician, Basic | 4713 Ranchwood Ter, Norman, OK 73072-3128 | 2013-01-18 |
| 1578738407 | Alacrity Healthcare, LLC | Emergency Medical Technician, Basic | 10844 S 93rd East Ave, Tulsa, OK 74133-6181 | 2008-04-22 |
| 1649455429 | Kelly Ray Anthony | Emergency Medical Technician, Basic | Rr 1 Box 672, Barnsdall, OK 74002-9736 | 2007-12-30 |
| 1568664449 | Town of Keyes Oklahoma | Emergency Medical Technician, Basic | 106 E. 3rd, Keyes, OK 73947-0121 | 2007-06-04 |
| 1841340643 | Weleetka Graham Ems | Emergency Medical Technician, Basic | 115 East 9th St, Weleetka, OK 74880-0445 | 2007-01-12 |
| 1730182908 | City of Coalgate | Emergency Medical Technician, Basic | 3 S Main St, Coalgate, OK 74538-2838 | 2005-05-23 |
| 1174868673 | Freedom Volunteer Ambulance Service | Emergency Medical Technician, Basic | 1049 Main St, Freedom, OK 73842-0173 | 2012-12-10 |
| 1245583558 | Aimee May | Emergency Medical Technician, Basic | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2012-10-24 |
| 1154538494 | Butler Ems Services | Emergency Medical Technician, Basic | 105 North Main Street, Butler, OK 73625-0145 | 2007-05-17 |
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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.