# CITY OF SHIDLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** shidler ambulance service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215111257
- **Authorized official:** MR. TODD ROE (FIRE CHIEF)
- **Authorized official phone:** (918) 793-7171

## Contact information

- **Practice address:** 351 NORTH COSDEN, SHIDLER, OK 74652
- **Practice address phone:** (918) 793-7171
- **Mailing address:** PO BOX 335, 351 N. COSDEN, SHIDLER, OK 74652-0335
- **Mailing address phone:** (918) 793-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | EMS089 | OK | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 05/21/2009
