Organization
GUTHRIE HOME CARE MEDICAL EQUIPMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NEWTON CORNWELL III (OWNER)
(405) 282-6676
Entity
Organization
Contact information
Practice address
307 N DIVISION ST, GUTHRIE, OK 73044-3203
(405) 282-6676
(405) 282-7769
Mailing address
307 N DIVISION ST, GUTHRIE, OK 73044-3203
(405) 282-6676
(405) 282-7769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811010A
—
OK
Enumeration date
09/25/2006
Last updated
05/04/2012
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