City Of Collinsville is a health care provider in Collinsville, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 1214 W Main St, Collinsville, OK 74021-3115, US | ||
|---|---|---|---|
| Practice Location Phone | 918-371-1031 | ||
| Practice Location Fax | 918-371-1030 | ||
| Legal Business Name | CITY OF COLLINSVILLE | ||
| Other Organization Name | CITY OF COLLINSVILLE EMS | ||
| Other Organization Name Type | Doing Business As Name | ||
| NPI ? | 1871647750 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Jan 22, 2007 | ||
| Last Update Date ? | May 6, 2009 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of City Of Collinsville| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Ambulance | Transportation Services | Land Transport | 33 | Oklahoma |
Legacy Provider IDs of City Of Collinsville| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| =========001 | Oklahoma | Other | BLUE CROSS BLUE SHIELD |
| 100819700A | Oklahoma | Medicaid | |
Authorized Official of City Of CollinsvilleAn authorized official is an appointed official with the legal authority to make changes and/or updates to the City Of Collinsville's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Jilian W Miller |
|---|---|
| Authorized Official Title/Position | INTERIM EMS DIRECTOR |
| Authorized Official Phone Number | 918-371-1031 |
