Organization
VICI - CAMARGO EMS
Active
Organization
VICI - CAMARGO EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTA GOODMAN (DIRECTOR)
(580) 995-3350
Entity
Organization
Contact information
Practice address
619 MAIN ST, VICI, OK 73859
(580) 995-3350
Mailing address
PO BOX 239, VICI, OK 73859-0239
(580) 995-3350
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS017
OK
Other
Enumeration date
05/31/2005
Last updated
08/22/2020
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