| Organization Name: | ELDORADO EMERGENCY MEDICAL SERVICE |
| NPI Number: | 1568456689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY J. GOODIN (FINANICAL OFFICER) |
| Mailing Address: | 501 West C St Eldorado |
| State: | OK US |
| Postal Code: | 735370043 |
| Phone Number: | 5806332404 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | EMS103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |