Organization
HOMINY COMMUNITY MEDICAL TRUST AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT WHITTEN (EMS DIRECTOR)
(800) 538-8278
Entity
Organization
Contact information
Practice address
505 N. EASTERN, HOMINY, OK 74035-1034
(800) 538-8278
(580) 628-2273
Mailing address
PO BOX 98, HOMINY, OK 74035-0098
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS421
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699680B
—
OK
Enumeration date
10/18/2006
Last updated
10/12/2012
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