Organization
TOWN OF GOODWELL
Active
Other names
GOODWELL AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE ROHDE (DIRECTOR)
(580) 349-2566
Entity
Organization
Contact information
Practice address
104 S MAIN, GOODWELL, OK 73939
(580) 349-2566
(580) 349-2983
Mailing address
PO BOX 759, GOODWELL, OK 73939-0759
(580) 349-2566
(580) 349-2983
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS141
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690731851001
BCBS OF OKLAHOMA
OK
Enumeration date
12/02/2006
Last updated
04/20/2008
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