MEDICARE: CAREFREE HEALTH SERVICES OF OKLAHOMA INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467752816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFREE HEALTH SERVICES OF OKLAHOMA INC.

Provider Business Mailing Address
First Line	:	3600 NW 138TH ST
Second Line	:	SUITE 102
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2503
Country	:	US
Telephone Number	:	800-266-9910
Fax Number	:	800-401-7126

Provider Business Practice Location Address
First Line	:	3600 NW 138TH ST
Second Line	:	SUITE 102
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2503
Country	:	US
Telephone Number	:	800-266-9910
Fax Number	:	800-401-7126

Authorized Official
Title or Position	:	CEO
Name	:	MR. THOMAS J PANIK SR.
Credential	:
Telephone Number	:	800-266-9910

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	11/01/2010

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