Organization
CIMARRON COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LEE OVERBAY (ADMINISTRATOR)
(580) 544-3021
Entity
Organization
Contact information
Practice address
18 NE SQUARE, BOISE CITY, OK 73933
(800) 538-8278
(580) 628-2273
Mailing address
PO BOX 367, BOISE CITY, OK 73933-0367
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS001
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820100A
—
OK
Enumeration date
09/26/2006
Last updated
12/18/2009
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