Organization
CITY OF POND CREEK
Active
Other names
Pond Creek Fire Department & Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD HALCOMB (DIRECTOR)
(580) 532-4911
Entity
Organization
Contact information
Practice address
105 S 2ND, POND CREEK, OK 73766
(580) 532-4915
(580) 532-4913
Mailing address
PO BOX 6, POND CREEK, OK 73766-0006
(580) 532-4915
(580) 532-4913
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS061
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690730223-001
BCBS PROVIDER #
OK
Enumeration date
05/27/2005
Last updated
08/22/2020
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