Organization
COMMUNITY EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD LEE SANFORD EMTP (OWNER/ADMINISTRATOR)
(918) 698-4845
Entity
Organization
Contact information
Practice address
10 S MAIN STREET, SAVANNA, OK 74565-0001
(918) 698-4845
(580) 628-2267
Mailing address
PO BOX 1548, MCALESTER, OK 74502-1548
(918) 698-4845
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
10/01/2024
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