Complete Care Medical

LBN: Lake Country Medical Supplies, Llc
Complete Care Medical is an health care organization with primary practice located at 744 S Mississippi Ave , Atoka OK 74525-3355. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Dialysis Equipment & Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Lake Country Medical Supplies, Llc can be contacted via phone (580) 889-7878, or through Clay, Victor via phone (580) 286-5022.

Contact Information

Primary practice address
744 S Mississippi Ave Atoka OK 74525-3355
Phone: (580) 889-7878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clay, Victor
Phone: (580) 286-5022

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Oklahoma
Suppliers / Dialysis Equipment & Supplies 332BD1200X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 57-S-940 Oklahoma

Profile Details

NPI number 1114920816
LBN Legal business name Lake Country Medical Supplies, Llc
DBA Doing business as Complete Care Medical
Authorized official Clay, Victor
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Jun 25th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114920816 NPPES
Oklahoma MEDICAID 100813530A
Oklahoma Other 742803495001

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