Jireh Medical, Llc

LBN: Jireh Medical, Llc
Jireh Medical, Llc is an health care organization with primary practice located at 1312 Commercial Ave , Mounds OK 74047-0000. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Jireh Medical, Llc can be contacted via phone (918) 827-7600, or through Rackley, Kyle Dean via phone (918) 827-7600.

Contact Information

Primary practice address
1312 Commercial Ave Mounds OK 74047-0000
Phone: (918) 827-7600
Fax: (918) 827-7667
Website:
Map and Directions
Authorized official contact:
Name: Rackley, Kyle Dean
Phone: (918) 827-7600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 11-6330 Oklahoma
Suppliers / Pharmacy 333600000X 11-6330 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 11-6330 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X 11-6330 Oklahoma

Profile Details

NPI number 1336369404
LBN Legal business name Jireh Medical, Llc
DBA Doing business as
Authorized official Rackley, Kyle Dean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2007
Last updated Jun 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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