| Organization Name: | WALTERS VOLUNTEER AMBULANCE |
| NPI Number: | 1699833798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVA VIRGINIA FRYER (DIRECTOR) |
| Mailing Address: | 119 S Broadway Walters |
| State: | OK US |
| Postal Code: | 735722032 |
| Phone Number: | 5808752400 |
| Fax Number: | 5808753574 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 06/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | EMS198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |