Provider Demographics
NPI:1578802799
Name:TOWN OF CARNEGIE
Entity Type:Organization
Organization Name:TOWN OF CARNEGIE
Other - Org Name:CARNEGIE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOERGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-654-1004
Mailing Address - Street 1:PO BOX 1075
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:OK
Mailing Address - Zip Code:73015-1075
Mailing Address - Country:US
Mailing Address - Phone:580-654-1004
Mailing Address - Fax:580-654-1551
Practice Address - Street 1:6 W ASH ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:OK
Practice Address - Zip Code:73015-1075
Practice Address - Country:US
Practice Address - Phone:580-654-5221
Practice Address - Fax:580-654-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3416L0300X3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport