Organization
CITY OF GUYMON
Active
Other names
Guymon Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT WADLEY (EMS DIRECTOR)
(580) 338-5537
Entity
Organization
Contact information
Practice address
219 NW 4TH ST, GUYMON, OK 73942-4708
(800) 538-8278
(580) 628-2273
Mailing address
219 NW 4TH ST, GUYMON, OK 73942-4708
(800) 538-8278
(580) 628-2273
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS173
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819780A
—
OK
Enumeration date
10/18/2006
Last updated
10/17/2012
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