Organization Name: | CITY OF CHECOTAH |
NPI Number: | 1912006644 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY LEWIS (AMBULANCE DIRECTOR) |
Mailing Address: | 414 W Gentry Ave Checotah |
State: | OK US |
Postal Code: | 744262444 |
Phone Number: | 8005388278 |
Fax Number: | 5806282273 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | EMS174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |