Toni'S Westside Rexall Inc

LBN: Toni'S Westside Rexall Inc
Toni'S Westside Rexall Inc is an health care organization with primary practice located at 301 W Grand Ave , Ponca City OK 74601-5118. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Toni'S Westside Rexall Inc can be contacted via phone (580) 765-4456, or through Gibson, Toni K via phone (580) 765-4456.

Contact Information

Primary practice address
301 W Grand Ave Ponca City OK 74601-5118
Phone: (580) 765-4456
Fax: (580) 765-0668
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Toni K Doctor of Public Health (DPH)
Phone: (580) 765-4456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6-2133 Oklahoma

Profile Details

NPI number 1407901671
LBN Legal business name Toni'S Westside Rexall Inc
DBA Doing business as
Authorized official Gibson, Toni K Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 30th, 2021 - about 5 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 1407901671 NPPES
Oklahoma MEDICAID 100235620B

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