Healthcare Provider Details

I. General information

NPI: 1821127408
Provider Name (Legal Business Name): ALLCARE MEDICAL EQUIPMENT AND SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 W KENOSHA ST
BROKEN ARROW OK
74012-8916
US

IV. Provider business mailing address

3107 AZALEA PARK DR
MUSKOGEE OK
74401-2284
US

V. Phone/Fax

Practice location:
  • Phone: 918-252-2273
  • Fax: 918-252-4357
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KATHY APPLE
Title or Position: CFO
Credential:
Phone: 918-683-5900