Organization
GRANDFIELD AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY GROUNDS EMT (DIRECTOR)
(580) 479-5589
Entity
Organization
Contact information
Practice address
103 W 3RD ST, GRANDFIELD, OK 73546-9238
(580) 479-5589
(580) 479-5589
Mailing address
103 W 3RD ST, PO BOX 655, GRANDFIELD, OK 73546-9238
(580) 479-5589
(580) 479-5589
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
030
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818960A
—
OK
01
—
O1289
SUBMITTER ID NUMBER
OK
Enumeration date
07/21/2008
Last updated
04/08/2011
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