Apache Ambulance Service Inc.
Organization Active NPI Land Ambulance · Apache, OK
NPI 1750424750 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1750424750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS210 (OK)
- Legal business name
- APACHE AMBULANCE SERVICE INC.
- Practice address
- 725 S Coblake St
Apache, OK 73006-8334 - Phone
- (580) 588-3305
- Fax
- (580) 588-3305
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Sandy Haden
- Title
- Director
- Phone
- (580) 588-3305
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS210 | OK | Yes |
Addresses
Primary practice location
725 S Coblake St
Apache, OK 73006-8334
Mailing address
PO Box 200
Apache, OK 73006-0200
Phone (580) 588-3305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100818920A | Medicaid | OK |
Other providers in Apache, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.