Organization
FRESH AIR MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN HAMIL (PRESIDENT)
(580) 916-2816
Entity
Organization
Contact information
Practice address
1415 W MAIN ST STE 100, DURANT, OK 74701-4942
(580) 931-3053
(580) 931-3439
Mailing address
1415 W MAIN ST STE 100, DURANT, OK 74701-4942
(580) 931-3053
(580) 931-3439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
231459
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011020A
—
OK
Enumeration date
10/18/2006
Last updated
09/12/2012
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