Konawa Ems

LBN: City Of Konawa
Konawa Ems is an health care organization with primary practice located at 122 N Broadway St , Konawa OK 74849-2232. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Konawa can be contacted via phone (580) 925-2345, or through Brogdon, Jesse Matthew via phone (580) 925-2345.

Contact Information

Primary practice address
122 N Broadway St Konawa OK 74849-2232
Phone: (580) 925-2345
Fax: (580) 925-3131
Website:
Map and Directions
Authorized official contact:
Name: Brogdon, Jesse Matthew EMT INTERMEDIATE
Phone: (580) 925-2345

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X EMS 011 Oklahoma

Profile Details

NPI number 1548578891
LBN Legal business name City Of Konawa
DBA Doing business as Konawa Ems
Authorized official Brogdon, Jesse Matthew EMT INTERMEDIATE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2010
Last updated Sep 21st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548578891 NPPES
Oklahoma MEDICAID 100818800A

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