Organization
TOWN OF KEYES OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C MOSER (EMS DIRECTOR)
(580) 546-7651
Entity
Organization
Contact information
Practice address
106 E THIRD, KEYES, OK 73947
(580) 546-7651
(580) 546-7617
Mailing address
PO BOX 121, KEYES, OK 73947-0121
(580) 546-7651
(580) 546-7617
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS347
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819540A
—
OK
01
—
731593614-001
BCBS PROVIDER #
OK
Enumeration date
05/23/2005
Last updated
05/28/2009
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