# FREEDOM VOLUNTEER AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174868673
- **Authorized official:** MS. PEBBLES LUDDINGTON NREMTB (DIRECTOR)
- **Authorized official phone:** (580) 621-3302

## Contact information

- **Practice address:** 1049 MAIN ST, FREEDOM, OK 73842-0173
- **Practice address phone:** (580) 621-3302
- **Practice address fax:** (580) 621-3309
- **Mailing address:** 404 MAIN STREET, FREEDOM, OK 73842-0173
- **Mailing address phone:** (580) 621-3302
- **Mailing address fax:** (580) 621-3309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | Yes |
| 146N00000X | Basic Emergency Medical Technician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2012
- **Last updated:** 12/10/2012
