Provider Demographics
NPI:1134404593
Name:CITY OF PAWHUSKA
Entity type:Organization
Organization Name:CITY OF PAWHUSKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-287-3576
Mailing Address - Street 1:118 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-4113
Mailing Address - Country:US
Mailing Address - Phone:918-257-3576
Mailing Address - Fax:918-287-4686
Practice Address - Street 1:118 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-4113
Practice Address - Country:US
Practice Address - Phone:918-257-3576
Practice Address - Fax:918-287-4686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS 464341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance