Organization
ALPINE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY NICOLE KETCHAM (OPERATIONS MANAGER)
(918) 682-7773
Entity
Organization
Contact information
Practice address
1601 N MAIN ST, MUSKOGEE, OK 74401-4451
(918) 682-7773
(918) 775-4654
Mailing address
1601 N MAIN ST, MUSKOGEE, OK 74401-4451
(918) 682-7773
(918) 775-4654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/07/2020
Last updated
10/14/2024
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