Organization
EMERGENCY MEDICAL SERVICE A TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRMA D WALKER (ADMINISTRATOR)
(918) 756-8563
Entity
Organization
Contact information
Practice address
1213 E 20TH ST, OKMULGEE, OK 74447-6301
(918) 756-8563
(918) 756-8564
Mailing address
PO BOX 1056, OKMULGEE, OK 74447-1056
(918) 756-8563
(918) 756-8564
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS076
OK
Other
Enumeration date
08/23/2005
Last updated
08/22/2020
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