Healthcare Provider Details

I. General information

NPI: 1205755378
Provider Name (Legal Business Name): BERRYHILL FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 W 41ST ST
TULSA OK
74107-6047
US

IV. Provider business mailing address

5911 W 41ST ST
TULSA OK
74107-6047
US

V. Phone/Fax

Practice location:
  • Phone: 918-446-1211
  • Fax:
Mailing address:
  • Phone: 918-446-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D HALL
Title or Position: FIRE CHIEF
Credential: EMT
Phone: 918-640-3261