Organization Name: | COMPLETE CARE MEDICAL, INC. |
NPI Number: | 1164781266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR B. CLAY (PRESIDENT/OWNER) |
Mailing Address: | 422 E Jackson St Hugo |
State: | OK US |
Postal Code: | 747434021 |
Phone Number: | 5803264887 |
Fax Number: | 5803264897 |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 128 |
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 |