1114920816 LAKE COUNTRY MEDICAL SUPPLIES, LLC
Oxygen Equipment & Supplies (DME)
Active
Basic Information
- Organization Name
- LAKE COUNTRY MEDICAL SUPPLIES, LLC
- Enumeration Date
- May 27, 2005
- Last Update
- June 25, 2019
- Authorized Official
- VICTOR CLAY
OWNER
Phone: (580) 286-5022
Practice Location
- Address
- 744 S MISSISSIPPI AVE
ATOKA, OK 745253355 - Phone
- (580) 889-7878
Mailing Address
- Address
- 744 S MISSISSIPPI AVE
ATOKA, OK 745253355 - Phone
- (580) 889-7878
- Fax
- (580) 889-8713
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | OK | No |
| Dialysis Equipment & Supplies (DME) Dialysis Equipment & Supplies | 332BD1200X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Nursing Facility Supplies (DME) Nursing Facility Supplies | 332BN1400X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 332BP3500X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 332BX2000X | Durable Medical Equipment & Medical Supplies | 57-S-940 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100813530A | 05 | OK | N/A |
| 742803495001 | 01 | OK | BLUE CROSS BLUE SHIELD |
Additional Practice Locations
702 S Mississippi Ave
Atoka, OK 745253324
Atoka, OK 745253324
Phone: (580) 889-7878
Fax: (580) 889-8713
Frequently Asked Questions
What is LAKE COUNTRY MEDICAL SUPPLIES, LLC's NPI number?
LAKE COUNTRY MEDICAL SUPPLIES, LLC's NPI number is 1114920816.
Which doctor has NPI number 1114920816?
The doctor with NPI number 1114920816 is LAKE COUNTRY MEDICAL SUPPLIES, LLC.
What is LAKE COUNTRY MEDICAL SUPPLIES, LLC's practice address?
LAKE COUNTRY MEDICAL SUPPLIES, LLC's practice address is 744 S MISSISSIPPI AVE, ATOKA, OK, 745253355.
Which doctor practices at 744 S MISSISSIPPI AVE, ATOKA, OK, 745253355?
LAKE COUNTRY MEDICAL SUPPLIES, LLC practices at 744 S MISSISSIPPI AVE, ATOKA, OK, 745253355.
What is LAKE COUNTRY MEDICAL SUPPLIES, LLC's phone number?
LAKE COUNTRY MEDICAL SUPPLIES, LLC's phone number is (580) 889-7878.
Who is (580) 889-7878?
(580) 889-7878 is the phone number for LAKE COUNTRY MEDICAL SUPPLIES, LLC.
What is LAKE COUNTRY MEDICAL SUPPLIES, LLC's specialty?
LAKE COUNTRY MEDICAL SUPPLIES, LLC's specialty is Oxygen Equipment & Supplies (DME).
What type of doctor is LAKE COUNTRY MEDICAL SUPPLIES, LLC?
LAKE COUNTRY MEDICAL SUPPLIES, LLC is a Oxygen Equipment & Supplies (DME).
Is LAKE COUNTRY MEDICAL SUPPLIES, LLC a Oxygen Equipment & Supplies?
Yes, LAKE COUNTRY MEDICAL SUPPLIES, LLC is a Oxygen Equipment & Supplies.
Is LAKE COUNTRY MEDICAL SUPPLIES, LLC still practicing?
Yes, LAKE COUNTRY MEDICAL SUPPLIES, LLC is currently practicing.
Is LAKE COUNTRY MEDICAL SUPPLIES, LLC accepting new patients?
LAKE COUNTRY MEDICAL SUPPLIES, LLC may be accepting new patients. Please call their office at (580) 889-7878 to inquire about availability.
Is NPI 1114920816 still active?
Yes, NPI 1114920816 is currently active.
Where does LAKE COUNTRY MEDICAL SUPPLIES, LLC practice?
LAKE COUNTRY MEDICAL SUPPLIES, LLC practices in ATOKA, OK.