Organization
APACHE AMBULANCE SERVICE INC.
Active
Organization
APACHE AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY HADEN (DIRECTOR)
(580) 588-3305
Entity
Organization
Contact information
Practice address
725 S COBLAKE ST, APACHE, OK 73006-8334
(580) 588-3305
(580) 588-3305
Mailing address
PO BOX 200, APACHE, OK 73006-0200
(580) 588-3305
(580) 588-3305
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818920A
—
OK
Enumeration date
02/15/2007
Last updated
06/12/2012
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