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Organization

CITY OF MEDFORD

Active
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Organization

CITY OF MEDFORD

Active
Other names
Medford Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
OMA LEA ROGERS (DIRECTOR)
(580) 395-2823
Entity
Organization

Contact information

Practice address
615 N FRONT ST, MEDFORD, OK 73759-2702
(580) 395-2823
(580) 395-3122
Mailing address
PO BOX 123, MEDFORD, OK 73759
(580) 395-2823
(580) 395-3122

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS036
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00095464
RAILROAD MEDICARE
OK
Enumeration date
05/23/2005
Last updated
08/22/2020
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