MEDICARE: EMERGENCY MEDICAL SERVICES AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	EMS296	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590005595	OTHER	OK	PALMETTO GBA/RAILROAD MED
2	235236501	OTHER	OK	US DEPT OF LABOR/OWCP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457378150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY MEDICAL SERVICES AUTHORITY

Provider Business Mailing Address
First Line	:	6205 S SOONER RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-5607
Country	:	US
Telephone Number	:	405-297-7100
Fax Number	:	405-297-7177

Provider Business Practice Location Address
First Line	:	6205 S SOONER RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-5607
Country	:	US
Telephone Number	:	405-297-7100
Fax Number	:	405-297-7199

Authorized Official
Title or Position	:	DIRECTOR, REVENUE CYCLE MANAGEMENT
Name	:	SONIA COLEMAN
Credential	:
Telephone Number	:	405-202-3805

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/14/2023

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Directions to “EMERGENCY MEDICAL SERVICES AUTHORITY ” Practice Location

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