1811931199 NPI number — CITY OF LINDSAY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811931199 NPI number — CITY OF LINDSAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF LINDSAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EMS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811931199
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 708
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINDSAY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73052-0708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-756-4323
Provider Business Mailing Address Fax Number:
405-756-2351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 W CREEK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINDSAY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73052-6219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-756-4323
Provider Business Practice Location Address Fax Number:
405-756-2351
Provider Enumeration Date:
06/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAYDEN
Authorized Official First Name:
DARIN
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
405-756-4323

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  EMS 343 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100819850A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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