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Contact Information

SOUTHWEST OKLAHOMA AMBULANCE AUTHORITY
1101 1/2 N 6TH
HOLLIS, OK73550
 Phone: 918-313-7467
 Fax: 580-688-2289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for SOUTHWEST OKLAHOMA AMBULANCE AUTHORITY

NPI Number 1043213010
LBN Legal business name SOUTHWEST OKLAHOMA AMBULANCE AUTHORITY
Authorized official EDDIE WATSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 02/12/2025 - More than a year ago
Identifiers
OK License # EMS117
OK Medicaid 100818690A
OK Other ========= BCBS PROVIDER #
OK Other 590001072 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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