Healthcare Provider Details

I. General information

NPI: 1811931199
Provider Name (Legal Business Name): CITY OF LINDSAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W CREEK ST
LINDSAY OK
73052-6219
US

IV. Provider business mailing address

PO BOX 708
LINDSAY OK
73052-0708
US

V. Phone/Fax

Practice location:
  • Phone: 405-756-4323
  • Fax: 405-756-2351
Mailing address:
  • Phone: 405-756-4323
  • Fax: 405-756-2351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberEMS 343
License Number StateOK

VIII. Authorized Official

Name: MR. DARIN HAYDEN
Title or Position: EMS DIRECTOR
Credential:
Phone: 405-756-4323