Organization
COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NICHOLS (DIRECTOR)
(580) 922-4211
Entity
Organization
Contact information
Practice address
106 W 2ND STREET, SEILING, OK 73663-0811
(580) 922-4241
(580) 922-4241
Mailing address
PO BOX 811, SEILING, OK 73663-0811
(580) 922-4241
(580) 922-4954
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS179
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818410A
—
OK
Enumeration date
05/23/2005
Last updated
01/06/2020
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