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Organization

ALFALFA COUNTY EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA B HALCOMB EMT (EMT)
(580) 596-3326
Entity
Organization

Contact information

Practice address
121 N GRAND AVE, CHEROKEE, OK 73728-1515
(580) 596-3326
(580) 628-2267
Mailing address
121 N GRAND AVE, CHEROKEE, OK 73728-1515
(580) 596-3326
(580) 628-2267

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
00016
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00016
STATE LICENSE NUMBER
OK
05
100819680A
OK
Enumeration date
09/20/2006
Last updated
07/07/2008
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