| Organization Name: | MUSCOGEE (CREEK) NATION DME, LLC |
| NPI Number: | 1225467426 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAULA K EDMONDS (OFFICE MANAGER) |
| Mailing Address: | 1180 S Belmont Ave Okmulgee |
| State: | OK US |
| Postal Code: | 744476308 |
| Phone Number: | 9187569279 |
| Fax Number: | 9187562656 |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |