Healthcare Provider Details

I. General information

NPI: 1609879840
Provider Name (Legal Business Name): HUGHES COUNTY EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 N OAK ST
HOLDENVILLE OK
74848-3214
US

IV. Provider business mailing address

PO BOX 671
HOLDENVILLE OK
74848-0671
US

V. Phone/Fax

Practice location:
  • Phone: 405-379-7046
  • Fax: 405-379-6369
Mailing address:
  • Phone: 405-379-7046
  • Fax: 405-379-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEMS051
License Number StateOK

VIII. Authorized Official

Name: MR. CHRISTOPHER CATES MILLER
Title or Position: DIRECTOR
Credential: NRP
Phone: 405-379-7046