Lake Country Medical Supplies, Llc in Atoka - Nursing Facility Supplies
Lake Country Medical Supplies, Llc - NPI 1114920816
Lake Country Medical Supplies, Llc is a Nursing Facility Supplies in Atoka, Oklahoma. Lake Country Medical Supplies, Llc practices all healthcare services and medical treatments related to Nursing Facility Supplies. The NPI Number for Lake Country Medical Supplies, Llc is 1114920816. The last update date is 2019-06-25.
Lake Country Medical Supplies, Llc's current location address is 744 S Mississippi Ave, Atoka, Oklahoma. You can contact this provider via phone number 5808897878 and fax number 5808898713. The mailing address for Lake Country Medical Supplies, Llc is 744 S Mississippi Ave, Atoka, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Country Medical Supplies, Llc |
|---|---|
| Address | 744 S Mississippi Ave, Atoka, Oklahoma |
| Phone Number | 5808897878 |
| Fax Number | 5808898713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clay Victor |
| Telephone Number | 5802865022 |
NPI Number Detail
| NPI Number | 1114920816 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2019-06-25 |
Provider Mailing Address Detail
| Address | 744 S Mississippi Ave |
|---|---|
| City | Atoka |
| State | Oklahoma (OK) |
| Post Code | 7452533550 |
| Phone Number | 5808897878 |
| Fax Number | 5808898713 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility Supplies |
|---|---|
| Taxonomy | 332Bn1400X |
|
Definition: Durable medical equipment and supplies for nursing facility residents like beds, lifts, and wheelchairs prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100813530A | OK | -- | |
| 742803495001 | OK | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lake Country Medical Supplies, Llc by the Centers for Medicare & Medicaid Services?
The Lake Country Medical Supplies, Llc has been assigned the NPI (National Provider Identifier) 1114920816 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lake Country Medical Supplies, Llc is located?
The Lake Country Medical Supplies, Llc is situated at the following address: 744 S Mississippi Ave, Atoka, OK, 7452533550.
What is Lake Country Medical Supplies, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lake Country Medical Supplies, Llc's specialized field of practice is Nursing Facility Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332Bn1400X.
When did the Lake Country Medical Supplies, Llc receive its 1114920816?
The Lake Country Medical Supplies, Llc was issued its 1114920816 on 2005-05-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lake Country Medical Supplies, Llc most recently updated or revised?
The details related to Lake Country Medical Supplies, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2019-06-25.