# COLLINSVILLE RURAL FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1639058472
- **Authorized official:** MR. JAMES DUSTIN RAY (LIEUTENANT)
- **Authorized official phone:** (918) 607-1228

## Contact information

- **Practice address:** 1018 S 12TH ST, COLLINSVILLE, OK 74021-2936
- **Practice address phone:** (918) 371-4854
- **Mailing address:** PO BOX 293, COLLINSVILLE, OK 74021-0293
- **Mailing address phone:** (918) 371-4854
- **Mailing address fax:** (918) 371-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2025
- **Last updated:** 08/27/2025