Organization
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Active
Parent organization
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Other names
Roger Mills Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROGER MILLS COUNTY HOSPITAL AUTHORITY
Authorized official
MRS. MARILYN BRYAN (CEO)
(580) 497-3336
Entity
Organization
Contact information
Practice address
501 S LL MALES, CHEYENNE, OK 73628-0219
(580) 497-3336
Mailing address
PO BOX 219, CHEYENNE, OK 73628-0219
(580) 497-3336
(580) 497-2124
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EMS063
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730761094001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/30/2008
Last updated
09/30/2008
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