South Moore Medical Clinic, Pc in Oklahoma City - Durable Medical Equipment & Medical Supplies
South Moore Medical Clinic, Pc - NPI 1912094244
South Moore Medical Clinic, Pc is a Durable Medical Equipment & Medical Supplies in Oklahoma City, Oklahoma. South Moore Medical Clinic, Pc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for South Moore Medical Clinic, Pc is 1912094244. The last update date is 2011-03-18.
South Moore Medical Clinic, Pc's current location address is 14800 S Western Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059124900 and fax number 4059124903. The mailing address for South Moore Medical Clinic, Pc is 14800 S Western Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Moore Medical Clinic, Pc |
|---|---|
| Address | 14800 S Western Ave, Oklahoma City, Oklahoma |
| Phone Number | 4059124900 |
| Fax Number | 4059124903 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Layne R Keith |
| Credentials | D.O. |
| Telephone Number | 4059124900 |
NPI Number Detail
| NPI Number | 1912094244 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
| Address | 14800 S Western Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731707112 |
| Phone Number | 4059124900 |
| Fax Number | 4059124903 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 560202001 | OK | DME NUMBER |
Post Comment/ Review Below
What is the South Moore Medical Clinic, Pc's unique identification number?
The South Moore Medical Clinic, Pc has been assigned the NPI (National Provider Identifier) Number 1912094244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where South Moore Medical Clinic, Pc is located?
The South Moore Medical Clinic, Pc is situated at the following address: 14800 S Western Ave, Oklahoma City, OK, 731707112.
What is South Moore Medical Clinic, Pc's area of expertise and its corresponding taxonomy classification?
The South Moore Medical Clinic, Pc's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1912094244 assigned to South Moore Medical Clinic, Pc?
The South Moore Medical Clinic, Pc was issued its 1912094244 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding South Moore Medical Clinic, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Moore Medical Clinic, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-18.
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