Provider Demographics
NPI:1235280090
Name:CITY OF HOOKER
Entity Type:Organization
Organization Name:CITY OF HOOKER
Other - Org Name:HOOKER MUNICIPAL AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-652-2885
Mailing Address - Street 1:111 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HOOKER
Mailing Address - State:OK
Mailing Address - Zip Code:73945
Mailing Address - Country:US
Mailing Address - Phone:580-652-2885
Mailing Address - Fax:
Practice Address - Street 1:108 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HOOKER
Practice Address - State:OK
Practice Address - Zip Code:73945
Practice Address - Country:US
Practice Address - Phone:580-652-2885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS5050341600000X, 3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100819810AMedicaid
OK100819810AMedicaid
OK=========001OtherBLUE CROSS BLUE SHIELD