Healthcare Provider Details

I. General information

NPI: 1932028263
Provider Name (Legal Business Name): ACCESS MEDRIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 S 151ST EAST AVE
TULSA OK
74134-4880
US

IV. Provider business mailing address

3731 S 151ST EAST AVE
TULSA OK
74134-4880
US

V. Phone/Fax

Practice location:
  • Phone: 918-814-1470
  • Fax:
Mailing address:
  • Phone: 918-814-1470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. STANLEY AMAEFULE
Title or Position: OWNER
Credential:
Phone: 918-814-1470