| Organization Name: | GULF COAST MEDICAL EQUIPMENT CO LLC |
| NPI Number: | 1972571719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER PARKS (PRESIDENT) |
| Mailing Address: | 102 N Broadway Skiatook |
| State: | OK US |
| Postal Code: | 74070 |
| Phone Number: | 9183962590 |
| Fax Number: | 8884924132 |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |