Provider Demographics
NPI:1457378150
Name:EMERGENCY MEDICAL SERVICES AUTHORITY
Entity type:Organization
Organization Name:EMERGENCY MEDICAL SERVICES AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-202-3805
Mailing Address - Street 1:6205 S SOONER RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-5607
Mailing Address - Country:US
Mailing Address - Phone:405-297-7100
Mailing Address - Fax:405-297-7177
Practice Address - Street 1:6205 S SOONER RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-5607
Practice Address - Country:US
Practice Address - Phone:405-297-7100
Practice Address - Fax:405-297-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS2963416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK590005595OtherPALMETTO GBA/RAILROAD MED
OK235236501OtherUS DEPT OF LABOR/OWCP
OK100818570BMedicaid
OK=========-002OtherBCBS OF OK-FED EMP
OK=========-002OtherBCBS OF OKLAHOMA
OK=========-002OtherCUSTOM GROUP SVC/MSA
OK=========OtherHUMANA GOLD PLUS
OK=========-002OtherBLUELINCS
OK=========-002OtherBCBS OF OKLAHOMA