Organization Name: | EMERGENCY MEDICAL TRANSPORT TEAM OF RURAL OKLAHOMA |
NPI Number: | 1104812460 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL R SCHUSTER (PRESIDENT) |
Mailing Address: | 1413 Barta Street Prague |
State: | OK US |
Postal Code: | 74864 |
Phone Number: | 4055672437 |
Fax Number: | 4055670077 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | EMS365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |