Organization
RUSH SPRINGS EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WAYNE TRUSTY NATIONALLY REGISTERE (OPERATIONS MANAGER RSEMS)
(580) 476-6438
Entity
Organization
Contact information
Practice address
201 W BLAKELY, RUSH SPRINGS, OK 73082
(580) 476-3438
Mailing address
PO BOX 708, RUSH SPRINGS, OK 73082-0708
(580) 476-3438
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819060A
—
OK
Enumeration date
12/19/2005
Last updated
04/20/2016
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