Provider Demographics
NPI:1033359575
Name:QUAPAW TRIBAL BUSINESS COMMITTEE
Entity Type:Organization
Organization Name:QUAPAW TRIBAL BUSINESS COMMITTEE
Other - Org Name:QUAPAW TRIBAL FIRE & EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF/EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:N
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-673-1709
Mailing Address - Street 1:PO BOX 765
Mailing Address - Street 2:
Mailing Address - City:QUAPAW
Mailing Address - State:OK
Mailing Address - Zip Code:74363-0765
Mailing Address - Country:US
Mailing Address - Phone:918-542-1853
Mailing Address - Fax:918-542-4694
Practice Address - Street 1:5681 S. 630 ROAD
Practice Address - Street 2:
Practice Address - City:QUAPAW
Practice Address - State:OK
Practice Address - Zip Code:74363-0765
Practice Address - Country:US
Practice Address - Phone:918-542-1853
Practice Address - Fax:918-542-1853
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUAPAW TRIBAL BUSINESS COMMITTEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-24
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport