APACHE AMBULANCE SERVICE INC. (NPI# 1750424750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750424750 |
| Entity Type | Organization |
| Organization Name | APACHE AMBULANCE SERVICE INC. |
| Practice Address |
725 S Coblake St Apache OK 73006-8334 |
| Mailing Address |
Po Box 200 Apache OK 73006-0200 |
| Practice Telephone | 5805883305 |
| Practice Fax Number | 5805883305 |
| Mailing Telephone | 5805883305 |
| Mailing Fax Number | 5805883305 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | SANDY HADEN (DIRECTOR) |
| Authorized Official Telephone | 5805883305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS210 | OK | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100818920A | 05 |
| Street Address |
725 S COBLAKE ST |
| City | APACHE |
| State | OK |
| Zip Code | 73006-8334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336517275 | Sheryl Lynn Denton | Nurse Practitioner | 1102 S Coblake St, Apache, OK 73006 | 2015-09-09 |
| 1356783393 | Boone-apache Public Schools | Local Education Agency (LEA) | 522 E. Floyd St, Apache, OK 73006 | 2013-07-18 |
| 1609897461 | Comanche County Hospital Authority | Family Medicine | 1102 South Cobb Lake Street, Apache, OK 73006 | 2006-07-21 |
| 1760477616 | Helena M Hill | Physician Assistant | 624 S Cobb Lake, Apache, OK 73006 | 2005-09-16 |
| 1316098882 | David Andrew Elliott | Chiropractor | 410 N Forrest, Apache, OK 73006-9392 | 2007-01-13 |
| 1891159927 | Deidra Henderson | Registered Nurse | 48025 County Street 2580, Apache, OK 73006-9708 | 2016-04-05 |
| 1043393093 | Phillip W & Phyllis J Melton | Pharmacy | 118 E Evans, Apache, OK 73006-9802 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891159927 | Deidra Henderson | Registered Nurse | 48025 County Street 2580, Apache, OK 73006-9708 | 2016-04-05 |
| 1336517275 | Sheryl Lynn Denton | Nurse Practitioner | 1102 S Coblake St, Apache, OK 73006 | 2015-09-09 |
| 1356783393 | Boone-apache Public Schools | Local Education Agency (LEA) | 522 E. Floyd St, Apache, OK 73006 | 2013-07-18 |
| 1316098882 | David Andrew Elliott | Chiropractor | 410 N Forrest, Apache, OK 73006-9392 | 2007-01-13 |
| 1043393093 | Phillip W & Phyllis J Melton | Pharmacy | 118 E Evans, Apache, OK 73006-9802 | 2006-10-23 |
| 1609897461 | Comanche County Hospital Authority | Family Medicine | 1102 South Cobb Lake Street, Apache, OK 73006 | 2006-07-21 |
| 1760477616 | Helena M Hill | Physician Assistant | 624 S Cobb Lake, Apache, OK 73006 | 2005-09-16 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 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 |
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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.