Organization
CLV ENTERPRISES, INC.
Active
Other names
Samaritan EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LIKENS (DIRECTOR OF ADMINISTRATION)
(918) 894-5256
Entity
Organization
Contact information
Practice address
3108 EPPERLY DR, DEL CITY, OK 73115-3414
(844) 498-6471
(405) 605-0422
Mailing address
3108 EPPERLY DR, DEL CITY, OK 73115-3414
(844) 498-6471
(405) 605-0422
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS468
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200472900A
—
OK
Enumeration date
06/07/2012
Last updated
03/26/2019
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