Provider Demographics
NPI:1811931199
Name:CITY OF LINDSAY
Entity type:Organization
Organization Name:CITY OF LINDSAY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-756-4323
Mailing Address - Street 1:PO BOX 708
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:OK
Mailing Address - Zip Code:73052-0708
Mailing Address - Country:US
Mailing Address - Phone:405-756-4323
Mailing Address - Fax:405-756-2351
Practice Address - Street 1:110 W CREEK ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:OK
Practice Address - Zip Code:73052-6219
Practice Address - Country:US
Practice Address - Phone:405-756-4323
Practice Address - Fax:405-756-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS 343341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100819850AMedicaid
OK500522016Medicare PIN