Organization Name: | GREER COUNTY SPECIAL AMBULANCE SERVICE DISTRICT |
NPI Number: | 1023075736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SCOTT AUGUSTINE (ADMINISTRATOR) |
Mailing Address: | 121 E Jefferson St Mangum |
State: | OK US |
Postal Code: | 735544242 |
Phone Number: | 5807825314 |
Fax Number: | 5807822648 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 107EMS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |