LEEDEY AMBULANCE SERVICE
NPI 1033112776
Ambulance - Land Transport in Leedey, OK

Active since May 26, 2005CLIA 37D0946322 · Waiver
401 S MAIN, LEEDEY, OK 73654(580) 488-3812(580) 488-2191 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leedey Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEEDEY AMBULANCE SERVICE (NPI 1033112776) is a healthcare organization registered as a land transport in Leedey, Oklahoma and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Kenneth Wohl, Director, as its authorized official.

NPPES Registry Identity

NPI1033112776
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLEEDEY AMBULANCE SERVICE
Location Address401 S MAINLeedey, OK 73654
Mailing AddressPo Box 190Leedey, OK 73654-0190 · (580) 488-3812 · Fax (580) 488-2191
Fax(580) 488-2191
Organization SubpartNo
Authorized OfficialKenneth WohlDirector · (580) 488-2101
Enumeration DateMay 26, 2005
Last NPPES UpdateMarch 25, 2009
NPI 1033112776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in OK · EMS113
401 S MAIN, Leedey, OK 73654

Other Names 1

Doing Business AsLeedey Ambulance Service

Other Identifiers 2

Other590007407OK · Railroad Medicare
Medicaid100818750AOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0946322

Leedey Ambulance Service · Leedey, OK
Active · expires May 20, 2028
CLIA Number37D0946322
Laboratory TypeOther
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorKenneth Wohl
Laboratory LocationLeedey Ambulance ServiceN Main, Leedey, OK 73654
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
651 services15 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
18 services15 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033112776, enumerated as an "organization" on May 26, 2005.

The provider is located at 401 S MAIN LEEDEY, OK 73654 and the phone number is (580) 488-3812.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.