Organization
BEAVER COUNTY MEMORIAL HOSPITAL
Active
Other names
Beaver County E.M.S.
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MEYERS (ADMINISTRATOR)
(580) 625-4551
Entity
Organization
Contact information
Practice address
212 EAST 8TH STREET, BEAVER, OK 73932-0640
(580) 625-4551
(580) 625-4212
Mailing address
212 EAST 8TH STREET, BEAVER, OK 73932-0640
(580) 625-4551
(580) 625-4212
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS029
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700760B
—
OK
Enumeration date
08/19/2008
Last updated
08/19/2008
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