CITY OF COLLINSVILLE NPI 1871647750

NPI Information

NPI: 1871647750
Provider Name: CITY OF COLLINSVILLE

Doing Business As: CITY OF COLLINSVILLE EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1214 W MAIN ST
COLLINSVILLE, OK
ZIP 74021
Phone: (918) 371-1031
Get Directions

CITY OF COLLINSVILLE is a land transport ambulance in Collinsville, OK. CITY OF COLLINSVILLE NPI is 1871647750. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Collinsville Ems.

The provider's business location address is:

1214 W MAIN ST
COLLINSVILLE, OK
ZIP 74021-115
Phone: (918) 371-1031
Fax: (918) 371-1030

The provider's authorized official is Jilian W Miller .
The authorized official title is Interim Ems Director and has the following contact phone number (918) 371-1031.

The CLIA number assigned to this NPI record is 37D0884750 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 5/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	33	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100819700A	MEDICAID	OKLAHOMA
2	=========001	OTHER	OKLAHOMA	BLUE CROSS BLUE SHIELD
3	690730110	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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