Prosource Medical Equipment And Supplies

LBN: Prosource Medical Equipment And Supplies
Prosource Medical Equipment And Supplies is an health care organization with primary practice located at 6801 S Eastern Ave , Oklahoma City OK 73149-2300. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prosource Medical Equipment And Supplies can be contacted via phone (888) 691-3237, or through Webb, Steven Russell via phone (888) 691-3237.

Contact Information

Primary practice address
6801 S Eastern Ave Oklahoma City OK 73149-2300
Fax: (405) 691-3395
Website:
Authorized official contact:
Name: Webb, Steven Russell

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 117978 Oklahoma

Profile Details

NPI number 1114917747
LBN Legal business name Prosource Medical Equipment And Supplies
DBA Doing business as
Authorized official Webb, Steven Russell
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Oct 21st, 2010 - about 14 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 1114917747 NPPES
Oklahoma MEDICAID 100811900A

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