OrganizationActive
Tillman County Oklahoma Emergency
NPI 1154432201 · Land Ambulance · Frederick, OK
Provider details
- NPI number
- 1154432201
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Jackie Johnson, Office Manager(580) 335-5877
- License
- EMS115 (OK)
Specialties & taxonomies
Transportation Services
Practice location
300 E Lucille Ave
Frederick, OK 73542-1422
Phone: (580) 335-5877
Fax: (580) 335-5512
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Lucille Ave
Frederick, OK 73542-1422
Other names (DBA / former)
- Other name
- Tillman County Emergency Medical Service Dist
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.