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NPI Code Detail

MEDICARE: EDMED

MEDICARE: EDMED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)OK

General Provider Information

NPI Number : 1306942339
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDMED
Provider Business Mailing Address
First Line : 8905 NW 112TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-2161
Country : US
Telephone Number : 405-824-4304
Fax Number :
Provider Business Practice Location Address
First Line : 8905 NW 112TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-2161
Country : US
Telephone Number : 405-824-4304
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD ALAN RAYLS
Credential : R.T.(R)
Telephone Number : 405-812-1420
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/22/2020

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Directions to “EDMED ” Practice Location

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