Provider Demographics
NPI:1871938282
Name:TOWN OF SENTINEL
Entity type:Organization
Organization Name:TOWN OF SENTINEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER OF BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-396-9500
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:SENTINEL
Mailing Address - State:OK
Mailing Address - Zip Code:73664-0038
Mailing Address - Country:US
Mailing Address - Phone:580-393-2171
Mailing Address - Fax:580-393-4905
Practice Address - Street 1:316 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SENTINEL
Practice Address - State:OK
Practice Address - Zip Code:73664-9999
Practice Address - Country:US
Practice Address - Phone:580-393-2171
Practice Address - Fax:580-393-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKEMS105341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance