Organization
CITY OF PONCA CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUTCH HERRING (FIRE CHIEF)
(800) 538-8278
Entity
Organization
Contact information
Practice address
500 E GRAND AVE, PONCA CITY, OK 74601-5409
(800) 538-8278
(580) 628-2273
Mailing address
PO BOX 1450, PONCA CITY, OK 74602-1450
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS160
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819940A
—
OK
Enumeration date
10/26/2006
Last updated
12/09/2009
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