Healthcare Provider Details

I. General information

NPI: 1376899971
Provider Name (Legal Business Name): SOUTHWESTERN LINCOLN COUNTY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 05/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330403 E. 1000 RD.
WELLSTON OK
74881-9717
US

IV. Provider business mailing address

330403 E 1000 RD
WELLSTON OK
74881-1010
US

V. Phone/Fax

Practice location:
  • Phone: 405-454-0765
  • Fax:
Mailing address:
  • Phone: 405-405-0765
  • 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. WARREN WELT
Title or Position: FIRE CHIEF
Credential:
Phone: 405-201-5981