Healthcare Provider Details

I. General information

NPI: 1023014578
Provider Name (Legal Business Name): CONSOLIDATED OILFIELD RENTALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 S HIGHWAY 183
CLINTON OK
73601-9514
US

IV. Provider business mailing address

PO BOX 653
CLINTON OK
73601-0653
US

V. Phone/Fax

Practice location:
  • Phone: 580-323-5666
  • Fax: 580-323-6084
Mailing address:
  • Phone: 580-323-5666
  • Fax: 580-323-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number28-S-602
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GARTHRIGHT
Title or Position: OWNER
Credential:
Phone: 580-323-5666