Organization
CANTON-LONGDALE EMS DISTRICT
Active
Organization
CANTON-LONGDALE EMS DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LEA SPRUNGER (OFFICE MANAGER)
(580) 886-2515
Entity
Organization
Contact information
Practice address
#2 DEPOT RD, CANTON, OK 73724-0039
(580) 886-2515
Mailing address
PO BOX 39, CANTON, OK 73724-0039
(580) 886-2515
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS111
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100818600A
—
OK
Enumeration date
01/19/2007
Last updated
11/17/2023
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