Organization
MUSCOGEE (CREEK) NATION DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA K EDMONDS (OFFICE MANAGER)
(918) 756-9279
Entity
Organization
Contact information
Practice address
1180 S BELMONT AVE, OKMULGEE, OK 74447-6308
(918) 756-9279
(918) 756-2656
Mailing address
PO BOX 1256, OKMULGEE, OK 74447-1256
(918) 756-9279
(918) 756-2656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/07/2013
Last updated
04/26/2016
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