City of Konawa

NPI #1548578891 in Konawa, Oklahoma

Provider Information

NPI Number
1548578891
Entity Type
Organization
Organization Name
City of Konawa
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Sep 21, 2010
Last Updated
Sep 21, 2010

Practice Location

Address
122 N BROADWAY ST
City
Konawa
ZIP Code
74849-2232
Phone
(580) 925-2345

Authorized Official

Name
MR. JESSE MATTHEW BROGDON, EMT INTERMEDIATE
Title
EMS DIRECTOR/ADMINISTRATOR
Phone
(580) 925-2345

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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