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NPI 1609879840

NPI 1609879840 : HUGHES COUNTY EMERGENCY MEDICAL SERVICES : HOLDENVILLE, OK

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General NPI Number Information
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    NPI Number           |    1609879840
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUGHES COUNTY EMERGENCY MEDICAL SERVICES 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    02/09/2024
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Provider Practice Location Address
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    Address Line         |    114 N OAK ST 
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    City                 |    HOLDENVILLE
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    State                |    OK
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    Zip                  |    74848-3214
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    Country              |    US
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    Telephone            |    405-379-7046
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    Fax                  |    405-379-6369
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Provider Business Mailing Address
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    Address Line         |    PO BOX 671 
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    City                 |    HOLDENVILLE
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    State                |    OK
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    Zip                  |    74848-0671
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    Country              |    US
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    Telephone            |    405-379-7046
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    Fax                  |    405-379-6369
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. CHRISTOPHER CATES MILLER 
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    Credential           |    NRP
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    Telephone            |    405-379-7046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    EMS051
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    License Number State |    OK
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