Organization
CITY OF ERICK
Active
Organization
CITY OF ERICK
Active
Other names
Erick Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARIE FORGAY (EMT)
(580) 526-3924
Entity
Organization
Contact information
Practice address
415 E ROGER MILLER, ERICK, OK 73645-0025
(580) 526-3924
(580) 526-3830
Mailing address
PO BOX 25, 206 S SHEB WOOLEY, ERICK, OK 73645-0025
(580) 526-3924
(580) 526-3830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS034
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819750A
—
OK
Enumeration date
08/19/2006
Last updated
10/27/2010
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