Provider Demographics
NPI:1609879840
Name:HUGHES COUNTY EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:HUGHES COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:CATES
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:405-379-7046
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:HOLDENVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74848-0671
Mailing Address - Country:US
Mailing Address - Phone:405-379-7046
Mailing Address - Fax:405-379-6369
Practice Address - Street 1:114 N OAK ST
Practice Address - Street 2:
Practice Address - City:HOLDENVILLE
Practice Address - State:OK
Practice Address - Zip Code:74848-3214
Practice Address - Country:US
Practice Address - Phone:405-379-7046
Practice Address - Fax:405-379-6369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS0513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100819260AMedicaid
OK736063754-001OtherBCBS PROVIDER #
OK826590524OtherRAILROAD MEDICARE
OK736006375Medicare PIN