ERICK AMBULANCE SERVICE
NPI 1710091269
Ambulance - Land Transport in Erick, OK

Active since August 19, 2006CLIA 37D0953332 · Waiver
415 E ROGER MILLER, ERICK, OK 73645(580) 526-3924(580) 526-3830 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erick Ambulance Service NPPES

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

ERICK AMBULANCE SERVICE (NPI 1710091269) is a healthcare organization registered as a land transport in Erick, Oklahoma and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Elizabeth Marie Forgay, Emt, as its authorized official.

NPPES Registry Identity

NPI1710091269
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF ERICK
Location Address415 E ROGER MILLERErick, OK 73645-0025
Mailing AddressPo Box 25, 206 S Sheb WooleyErick, OK 73645-0025 · (580) 526-3924 · Fax (580) 526-3830
Fax(580) 526-3830
Organization SubpartNo
Authorized OfficialElizabeth Marie ForgayEmt · (580) 526-3924
Enumeration DateAugust 19, 2006
Last NPPES UpdateOctober 27, 2010
NPI 1710091269 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 · EMS034
415 E ROGER MILLER, Erick, OK 73645

Other Names 1

Doing Business AsErick Ambulance Service

Other Identifiers 2

Other=========-001OK · Bc/bs
Medicaid100819750AOK

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 37D0953332

City Of Erick Ambulance Service · Erick, OK
Active · expires Oct 29, 2026
CLIA Number37D0953332
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorTreva J. Graham
Laboratory Phone(580) 526-3924
Laboratory LocationCity Of Erick Ambulance Service204 South Sheb Wooley, Erick, OK 73645
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 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.
6,684 services81 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
38 services32 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.
36 services33 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
23 services22 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Erick's NPI number?

The NPI number for City Of Erick is 1710091269. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider is doing business as Erick Ambulance Service.

Where is City Of Erick located?

City Of Erick is located at 415 E Roger Miller, Erick, OK 73645. The listed phone number is (580) 526-3924.

What is City Of Erick's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does City Of Erick hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0953332) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of Erick accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list City Of Erick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of Erick was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.