Organization Name: | FRESH AIR MEDICAL SUPPLY INC |
NPI Number: | 1013098813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAWN HAMIL (PRESIDENT) |
Mailing Address: | 1415 W Main St Ste 100 Durant |
State: | OK US |
Postal Code: | 747014942 |
Phone Number: | 5809313053 |
Fax Number: | 5809313439 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 231459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |