1992975700 NPI number — PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC

Table of content: (NPI 1992975700)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992975700 NPI number — PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992975700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1314
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURANT
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74702-1314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-924-8509
Provider Business Mailing Address Fax Number:
877-310-2124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3324 ENTERPRISE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURANT
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74701-1986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-924-8509
Provider Business Practice Location Address Fax Number:
580-924-1925
Provider Enumeration Date:
03/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KEELING
Authorized Official First Name:
MELYNDA
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
CONTRACTS ADMINISTRATOR
Authorized Official Telephone Number:
580-924-8509

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100681760E . This is a "DURABLE MEDICAL EQUIPMENT" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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