1902037088 NPI number — MERCY DIABETIC SUPPLY INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902037088 NPI number — MERCY DIABETIC SUPPLY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERCY DIABETIC SUPPLY 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:
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:
1902037088
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3140 W BRITTON RD
Provider Second Line Business Mailing Address:
SUITE #201
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73120-2039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-242-5030
Provider Business Mailing Address Fax Number:
405-242-5309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3140 W BRITTON RD
Provider Second Line Business Practice Location Address:
SUITE #201
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73120-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-242-5030
Provider Business Practice Location Address Fax Number:
405-242-5309
Provider Enumeration Date:
08/06/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VASQUEZ
Authorized Official First Name:
EUNJA
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
405-242-5030

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  542611 , 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: 200286530A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".