Lake Country Medical Supplies Of Okmulgee, Llc

LBN: Lake Country Medical Supplies Of Okmulgee, Llc
Lake Country Medical Supplies Of Okmulgee, Llc is an health care organization with primary practice located at 1180 S Belmont Ave , Okmulgee OK 74447-6308. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Dialysis Equipment & Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Lake Country Medical Supplies Of Okmulgee, Llc can be contacted via phone (918) 756-9279, or through Ritter, Ryan via phone (580) 889-7800.

Contact Information

Primary practice address
1180 S Belmont Ave Okmulgee OK 74447-6308
Phone: (918) 756-9279
Fax: (918) 756-2656
Website:
Map and Directions
Authorized official contact:
Name: Ritter, Ryan Doctor of Public Health (DPH)
Phone: (580) 889-7800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Oklahoma
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 14-S-795 Oklahoma

Profile Details

NPI number 1376546960
LBN Legal business name Lake Country Medical Supplies Of Okmulgee, Llc
DBA Doing business as
Authorized official Ritter, Ryan Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated May 26th, 2011 - about 13 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 1376546960 NPPES
Oklahoma MEDICAID 100812630A

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