Organization
VICI-CAMARGO EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA LYNN BRYANT AEMT (DIRECTOR)
(580) 273-0106
Entity
Organization
Contact information
Practice address
611 N MAIN, VICI, OK 73859-0239
(580) 799-2173
(580) 995-3351
Mailing address
PO BOX 239, VICI, OK 73859-0239
(580) 273-0106
(580) 995-3628
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
411
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKB5710
PTAB
OK
Enumeration date
05/11/2009
Last updated
05/14/2026
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