Organization
CITY OF COLLINSVILLE
Active
Other names
City of Collinsville EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JILIAN W MILLER (INTERIM EMS DIRECTOR)
(918) 371-1031
Entity
Organization
Contact information
Practice address
1214 W MAIN ST, COLLINSVILLE, OK 74021-3115
(918) 371-1031
(918) 371-1030
Mailing address
1214 W MAIN ST, COLLINSVILLE, OK 74021-3115
(918) 371-1031
(918) 371-1030
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819700A
—
OK
Enumeration date
01/22/2007
Last updated
05/06/2009
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