Provider Demographics
NPI:1902053697
Name:TOWN OF WESTVILLE
Entity Type:Organization
Organization Name:TOWN OF WESTVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-723-3988
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74965-0146
Mailing Address - Country:US
Mailing Address - Phone:918-723-3988
Mailing Address - Fax:918-723-3357
Practice Address - Street 1:221 S. WILLIAMS
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:OK
Practice Address - Zip Code:74965-0146
Practice Address - Country:US
Practice Address - Phone:918-723-3988
Practice Address - Fax:918-723-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS4343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport