MEDICARE: CONSOLIDATED OILFIELD RENTALS, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	335E00000X	Prosthetic/Orthotic Supplier
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)

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	:	1508916974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSOLIDATED OILFIELD RENTALS, INC

Provider Business Mailing Address
First Line	:	PO BOX 653
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-0653
Country	:	US
Telephone Number	:	580-323-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 W 3RD ST
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-5113
Country	:	US
Telephone Number	:	580-243-6500
Fax Number	:	580-243-6515

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL GARTHRIGHT
Credential	:
Telephone Number	:	580-323-5666

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	12/09/2011

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