Provider Demographics
NPI:1780646299
Name:RURAL EMERGENCY MEDICAL ORGANIZATION,INC
Entity Type:Organization
Organization Name:RURAL EMERGENCY MEDICAL ORGANIZATION,INC
Other - Org Name:REMO AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR/BOARD OF DIRECTORS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CLAY
Authorized Official - Last Name:TRUNDLE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT BASIC
Authorized Official - Phone:918-783-5141
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:BIG CABIN
Mailing Address - State:OK
Mailing Address - Zip Code:74332-0216
Mailing Address - Country:US
Mailing Address - Phone:918-783-5141
Mailing Address - Fax:918-783-5855
Practice Address - Street 1:264 EAST MAIN
Practice Address - Street 2:
Practice Address - City:BIG CABIN
Practice Address - State:OK
Practice Address - Zip Code:74332-0216
Practice Address - Country:US
Practice Address - Phone:918-783-5141
Practice Address - Fax:918-783-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS0213416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00225007OtherRAIL ROAD MEDICARE
OK=========001OtherBLUE CROSS BLUE SHIELD