# TOWN OF STRATFORD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stratford Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104809102
- **Authorized official:** MS. LORI JOLLEY (TOWN CLERK)
- **Authorized official phone:** (580) 759-2371

## Contact information

- **Practice address:** 110 E MAIN, STRATFORD, OK 74872-0569
- **Practice address phone:** (580) 759-2371
- **Practice address fax:** (580) 759-2372
- **Mailing address:** PO BOX 569, STRATFORD, OK 74872-0569
- **Mailing address phone:** (580) 759-2371
- **Mailing address fax:** (580) 759-2372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | EMS097 | OK | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 07/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100820270A | — | OK |
| 01 | — | 590120592 | RAILROAD MEDICARE | OK |