Tillman County Oklahoma Emergency
Ambulance, Land Transport in Frederick, OK. Organization (NPI-2).
NPI number1154432201
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1154432201
- Entity type
- Organization (NPI-2)
- Legal business name
- Tillman County Oklahoma Emergency
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | EMS115 | OK | Yes |
Other names
- Tillman County Emergency Medical Service Dist (Other Name)
Practice location
300 E Lucille AveFrederick, OK 73542-1422
Phone 580-335-5877 · Fax 580-335-5512
Mailing address
300 E Lucille AveFrederick, OK 73542-1422
Phone 580-335-5877 · Fax 580-335-5512
Authorized official
Jackie L Johnson
Office Manager
5803355877
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