MEDICARE: B & B MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	89087002001	OTHER	OK	BLUE CROSS BLUE SHIELD
2	57095	OTHER	OK	NORTHWOOD NPN

General Provider Information

NPI Number	:	1275509606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & B MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	2236 NW 10TH ST
Second Line	:	SUITE 103
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-5658
Country	:	US
Telephone Number	:	405-235-9548
Fax Number	:	405-272-0889

Provider Business Practice Location Address
First Line	:	2236 NW 10TH ST
Second Line	:	SUITE 103
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-5658
Country	:	US
Telephone Number	:	405-235-9548
Fax Number	:	405-272-0889

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM LONG
Credential	:
Telephone Number	:	405-235-9548

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	04/20/2008

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Directions to “B & B MEDICAL SERVICES INC ” Practice Location

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