# ROGER MILLS COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROGER MILLS COUNTY HOSPITAL AUTHORITY
- **Other names:** Roger Mills Ambulance Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073763736
- **Legal business name:** ROGER MILLS COUNTY HOSPITAL AUTHORITY
- **Authorized official:** MRS. MARILYN BRYAN (CEO)
- **Authorized official phone:** (580) 497-3336

## Contact information

- **Practice address:** 501 S LL MALES, CHEYENNE, OK 73628-0219
- **Practice address phone:** (580) 497-3336
- **Mailing address:** PO BOX 219, CHEYENNE, OK 73628-0219
- **Mailing address phone:** (580) 497-3336
- **Mailing address fax:** (580) 497-2124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | EMS063 | OK | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 730761094001 | BLUE CROSS BLUE SHIELD | OK |