Organization Name: | COMPLETE CARE MEDICAL, INC. |
NPI Number: | 1295022911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR BRYAN CLAY (PRESIDENT/OWNER) |
Mailing Address: | 215 N High St Antlers |
State: | OK US |
Postal Code: | 745232237 |
Phone Number: | 5802983210 |
Fax Number: | 5802989925 |
NPI Enumeration Date: | 07/01/2011 |
NPI Last Update Date: | 07/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0128 |
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 |