Organization
CENTRAL HEALTH SERVICES, L.L.C.
Active
Other names
Med-Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M HARVEY (OWNER)
(405) 567-0904
Entity
Organization
Contact information
Practice address
125 W MACARTHUR ST, SHAWNEE, OK 74804-2027
(405) 273-5208
(405) 273-5235
Mailing address
PO BOX 904, PRAGUE, OK 74864-0904
(405) 567-0904
(405) 567-0906
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10-S-988
OK
3336S0011X
Specialty Pharmacy
10-4753
OK
Other
Enumeration date
06/11/2006
Last updated
02/07/2008
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