Provider Demographics
NPI:1033119326
Name:CITY OF ANADARKO
Entity Type:Organization
Organization Name:CITY OF ANADARKO
Other - Org Name:ANADARKO FIRE/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:EARLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-247-3871
Mailing Address - Street 1:115 W KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-4014
Mailing Address - Country:US
Mailing Address - Phone:405-247-3871
Mailing Address - Fax:405-247-2983
Practice Address - Street 1:115 W KENTUCKY AVE
Practice Address - Street 2:STATION ONE
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-4014
Practice Address - Country:US
Practice Address - Phone:405-247-3871
Practice Address - Fax:405-247-2983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS088341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK736005087-001OtherBCBS
OK736005087-001OtherBCBS