Provider Demographics
NPI:1306627526
Name:CITY OF BIXBY
Entity type:Organization
Organization Name:CITY OF BIXBY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-366-0419
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:DEPT NO. 465
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-0100
Mailing Address - Country:US
Mailing Address - Phone:918-366-0427
Mailing Address - Fax:
Practice Address - Street 1:111 N CABANISS AVE
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-4445
Practice Address - Country:US
Practice Address - Phone:918-366-0427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance