MEDICARE: PRN MEDICAL SERVICES, LLC

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	C000945	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386818789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRN MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	8516 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6010
Country	:	US
Telephone Number	:	877-688-2729
Fax Number	:	888-718-0633

Provider Business Practice Location Address
First Line	:	16610 N BLACK CANYON HWY STE 109
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-4039
Country	:	US
Telephone Number	:	623-780-8686
Fax Number	:	623-780-1887

Authorized Official
Title or Position	:	CFO
Name	:	JEFFERY B HENDRIX
Credential	:
Telephone Number	:	405-443-2996

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	10/17/2025

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Directions to “PRN MEDICAL SERVICES, LLC ” Practice Location

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