Provider Demographics
NPI:1003863218
Name:MEDI FLIGHT OF OKLAHOMA, LLC
Entity Type:Organization
Organization Name:MEDI FLIGHT OF OKLAHOMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:NIEL
Authorized Official - Last Name:MCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-271-7911
Mailing Address - Street 1:700 NE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5004
Mailing Address - Country:US
Mailing Address - Phone:405-271-7700
Mailing Address - Fax:405-271-7910
Practice Address - Street 1:700 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5004
Practice Address - Country:US
Practice Address - Phone:405-271-7700
Practice Address - Fax:405-271-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS4073416A0800X
OKEMS3403416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416A0800XTransportation ServicesAmbulanceAir Transport
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport