Healthcare Provider Details

I. General information

NPI: 1477584183
Provider Name (Legal Business Name): OKLAHOMA RESPIRATORY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 N PORTER AVE SUITE 100
NORMAN OK
73071-6072
US

IV. Provider business mailing address

623 N PORTER AVE SUITE 100
NORMAN OK
73071-6072
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-4405
  • Fax: 405-360-3538
Mailing address:
  • Phone: 405-360-4405
  • Fax: 405-360-3538

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: MR. KEVIN BARNES
Title or Position: GENERAL MANAGER
Credential:
Phone: 405-360-4405