Organization
CENTRAL MED EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DIANNE WEAVER (DIRECTOR)
(918) 287-1341
Entity
Organization
Contact information
Practice address
201 E 6TH ST, PAWHUSKA, OK 74056-4205
(918) 287-1341
Mailing address
201 E 6TH ST, PAWHUSKA, OK 74056-4205
(918) 287-1341
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
385
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020400*21
—
OK
Enumeration date
09/15/2006
Last updated
04/18/2008
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