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.
Practice Location | 1214 W Main St, Collinsville, OK 74021-3115, US | ||
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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). | |||
Specialty | Provider Type | Specialization | License | License State |
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Ambulance | Transportation Services | Land Transport | 33 | Oklahoma |
Provider Id | Issuer State | Issuer Type | Issuer |
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=========001 | Oklahoma | Other | BLUE CROSS BLUE SHIELD |
100819700A | Oklahoma | Medicaid | |
An 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 |
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Authorized Official Title/Position | INTERIM EMS DIRECTOR |
Authorized Official Phone Number | 918-371-1031 |