Organization
WALTERS VOLUNTEER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA VIRGINIA FRYER RN EMT DIRECTOR (DIRECTOR)
(580) 875-2400
Entity
Organization
Contact information
Practice address
119 S BROADWAY, WALTERS, OK 73572-2032
(580) 875-2400
(580) 875-3574
Mailing address
PO BOX 394, WALTERS, OK 73572-2032
(580) 875-2400
(580) 875-3574
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS198
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818300A
—
OK
Enumeration date
12/04/2006
Last updated
06/05/2008
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