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Contact Information

LEEDEY AMBULANCE SERVICE
401 S MAIN
LEEDEY, OK73654
 Phone: 580-488-3812
 Fax: 580-488-2191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for LEEDEY AMBULANCE SERVICE

NPI # 1033112776
LBN Legal business name LEEDEY AMBULANCE SERVICE
Authorized official KENNETH WOHL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2005
Last updated 03/25/2009 - About 17 years ago
Identifiers
OK License # EMS113
OK Medicaid 100818750A
OK Other 590007407 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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