Organization
GREER COUNTY SPECIAL AMBULANCE SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCOTT AUGUSTINE (ADMINISTRATOR)
(580) 782-5314
Entity
Organization
Contact information
Practice address
121 E JEFFERSON ST, MANGUM, OK 73554-4242
(580) 782-5314
(580) 782-2648
Mailing address
121 E JEFFERSON ST, MANGUM, OK 73554-4242
(580) 782-5314
(580) 782-2648
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
107EMS
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820120A
—
OK
Enumeration date
04/27/2006
Last updated
04/19/2012
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