Organization
EMERGENCY MEDICAL SERVICES PLUS, LLC
Active
Other names
EMS Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ROYAL DAVIS (OWNER/MANAGER)
(214) 770-7895
Entity
Organization
Contact information
Practice address
14522 S BROADWAY, GLENPOOL, OK 74033
(214) 770-7895
(918) 258-6675
Mailing address
PO BOX 197, GLENPOOL, OK 74033-0197
(214) 770-7895
(918) 258-6675
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
358
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819570A
—
OK
01
—
PR40186430001
CIGNA
IL
Enumeration date
06/21/2005
Last updated
04/16/2015
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