Medic-Aire Of Tahlequah, INC.
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Tahlequah, OK. Organization (NPI-2).
NPI number1720175292
StatusActive
Last updated in NPPESApr 1, 2008
Details
- NPI
- 1720175292
- Entity type
- Organization (NPI-2)
- Legal business name
- Medic-Aire Of Tahlequah, INC.
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Apr 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | N/A | OK | Yes |
Practice location
17900 Muskogee AvenueTahlequah, OK 74464-5494
Phone 918-453-9991
Mailing address
17900 S Muskogee AveTahlequah, OK 74464-5494
Phone 918-453-9991
Authorized official
Jon T. Hiseley
President And Ceo
9184539991
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