Organization
JOHNSTON COUNTY EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH W POWER (DIRECTOR)
(580) 371-0569
Entity
Organization
Contact information
Practice address
604 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-0569
(580) 371-0570
Mailing address
604 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-0569
(580) 371-0570
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
079
OK
3416L0300X
Land Ambulance
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819560A
—
OK
Enumeration date
07/15/2005
Last updated
08/17/2018
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