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institution
City Of Wagoner
Land Ambulance in Wagoner, Oklahoma
NPI 1093890352

City Of Wagoner is a Land Ambulance based in Wagoner, OK and is specialized in Land Transport. City Of Wagoner practices in Wagoner, OK. The NPI Number for City Of Wagoner is 1093890352 and holds a License No. EMS014 (Oklahoma).

The current practice location address for City Of Wagoner is 300 Se 3Rd St, Wagoner, OK and can be reached out via phone at 800-538-8278 and via fax at 580-628-2273.

Location: 300 Se 3Rd St, Wagoner, OK, 74477-0406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093890352
Provider Name
City Of Wagoner
Credential
Provider Entity Type
Organization
Address
300 Se 3Rd St, Wagoner, OK, 74477-0406
Phone Number
800-538-8278
Fax Number
580-628-2273
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731011975001 01 OK BCBS PROVIDER NUMBER
100818530A 05 OK
institution
Provider Business Practice Location Address Details
Address
300 Se 3Rd St
City
Wagoner
State
Oklahoma
Zip
74467-5726
Phone Number
800-538-8278
Fax Number
580-628-2273
person
Provider Business Mailing Address Details
Address
300 Se 3Rd St
City
Wagoner
State
Oklahoma
Zip
74467-5726
Phone Number
800-538-8278
Fax Number
580-628-2273
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
EMS014 (Oklahoma)
Definition
Definition to come...
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