Organization
CITY OF COALGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LOUISE MERRITT (EMS CLERK)
(580) 927-3913
Entity
Organization
Contact information
Practice address
3 S MAIN ST, COALGATE, OK 74538-2838
(580) 927-3913
(580) 927-3200
Mailing address
3 S MAIN ST, COALGATE, OK 74538-2838
(580) 927-3913
(580) 927-3200
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
375
OK
3416L0300X
Land Ambulance
Primary
375
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019140A
—
OK
Enumeration date
05/23/2005
Last updated
04/29/2026
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