# ELDORADO EMERGENCY MEDICAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eldorado EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568456689
- **Authorized official:** MRS. MARY J. GOODIN (FINANICAL OFFICER)
- **Authorized official phone:** (580) 633-2404

## Contact information

- **Practice address:** 501 WEST C ST, ELDORADO, OK 73537-0043
- **Practice address phone:** (580) 633-2404
- **Mailing address:** 501 WEST C, ELDORADO, OK 73537-0043
- **Mailing address phone:** (580) 633-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | EMS103 | OK | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 08/22/2020