Organization
CITY OF PAWNEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NOVOTNY (FIRE CHIEF)
(800) 538-8278
Entity
Organization
Contact information
Practice address
510 ILLINOIS ST, PAWNEE, OK 74058-2036
(800) 538-8278
(580) 628-2273
Mailing address
510 ILLINOIS ST, PAWNEE, OK 74058-2036
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819920A
—
OK
01
—
590120213
RRMC PROVIDER NUMBER
OK
Enumeration date
10/26/2006
Last updated
01/27/2010
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