Organization
WELEETKA GRAHAM EMS
Active
Other names
WELEETKA GRAHAM EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE S ABSHER (DIRECTOR OF OPPERATIONS)
(405) 786-2200
Entity
Organization
Contact information
Practice address
115 EAST 9TH ST, WELEETKA, OK 74880-0445
(405) 786-2200
Mailing address
PO BOX 445, WELEETKA, OK 74880-0445
(405) 786-2200
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819030-A
—
OK
Enumeration date
01/12/2007
Last updated
04/20/2008
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