Provider Demographics
NPI:1801895362
Name:WADLEY'S EMS INC
Entity type:Organization
Organization Name:WADLEY'S EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-527-5555
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-0997
Mailing Address - Country:US
Mailing Address - Phone:405-527-5555
Mailing Address - Fax:405-527-9693
Practice Address - Street 1:400 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-4016
Practice Address - Country:US
Practice Address - Phone:405-527-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK03843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport