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City Of Collinsville

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.

physician-icon Basic Information

Practice Location 1214 W Main St, Collinsville, OK 74021-3115, US
Practice Location Phone918-371-1031
Practice Location Fax918-371-1030
Legal Business NameCITY OF COLLINSVILLE
Other Organization NameCITY OF COLLINSVILLE EMS
Other Organization Name TypeDoing Business As Name
NPI ?1871647750
Entity TypeOrganization
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-icon Specialties & Licenses of City Of Collinsville

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport 33Oklahoma

legacy-id-icon Legacy Provider IDs of City Of Collinsville

Provider IdIssuer StateIssuer TypeIssuer
=========001OklahomaOtherBLUE CROSS BLUE SHIELD
100819700AOklahomaMedicaid

official-icon Authorized Official of City Of Collinsville

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
Authorized Official Title/PositionINTERIM EMS DIRECTOR
Authorized Official Phone Number918-371-1031