Healthcare Provider Details

I. General information

NPI: 1487844437
Provider Name (Legal Business Name): OKLAHOMA RESPIRATORY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 S CLASSEN AVE SUITE B
MOORE OK
73160-5412
US

IV. Provider business mailing address

604 S CLASSEN AVE SUITE B
MOORE OK
73160-5412
US

V. Phone/Fax

Practice location:
  • Phone: 405-735-6055
  • Fax:
Mailing address:
  • Phone: 405-735-6055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateOK
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number7-D-420
License Number StateOK

VIII. Authorized Official

Name: MR. KEVIN BARNES
Title or Position: GENERAL MANAGER
Credential:
Phone: 405-735-6055