Organization
MUSKOGEE COUNTY EMERGENCY MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAUREL HAVENS EMT-P (EXECUTIVE DIRECTOR)
(918) 683-0130
Entity
Organization
Contact information
Practice address
200 CALLAHAN ST, MUSKOGEE, OK 74403-5126
(918) 683-0130
(918) 683-9351
Mailing address
200 CALLAHAN ST, MUSKOGEE, OK 74403-5126
(918) 683-0130
(918) 683-9351
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS078
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820180A
—
OK
01
—
590001059
RAILROAD MEDICARE
OK
Enumeration date
05/27/2006
Last updated
05/09/2022
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