Organization
CHEROKEE NATION
Active
Other names
Cherokee Nation EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY SUMMERLIN (EMS DIRECTOR)
(918) 453-5025
Entity
Organization
Contact information
Practice address
22114 S BALD HILL RD, TAHLEQUAH, OK 74464-1519
(918) 458-5403
(918) 458-4488
Mailing address
PO BOX 977, TAHLEQUAH, OK 74465-0977
(918) 453-5648
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS263
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729250B
—
OK
01
—
590005278
RAILROAD MEDICARE
OK
Enumeration date
05/23/2005
Last updated
11/08/2022
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