Healthcare Provider Details
I. General information
NPI: 1861402794
Provider Name (Legal Business Name): CONSOLIDATED OILFIELD RENTALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2006
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1289 N AIR DEPOT BLVD
MIDWEST CITY OK
73110-3333
US
IV. Provider business mailing address
PO BOX 653
CLINTON OK
73601-0653
US
V. Phone/Fax
- Phone: 405-741-5666
- Fax: 405-741-1053
- Phone: 580-323-5666
- Fax: 580-323-6084
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 1-S-1004 |
| License Number State | OK |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
GARTHRIGHT
Title or Position: OWNER
Credential:
Phone: 580-323-5666