Organization
MACH ONE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM B LOVERN (PRESIDENT)
(918) 208-1282
Entity
Organization
Contact information
Practice address
107 E CREEK AVE, SALLISAW, OK 74955-4652
(918) 790-2305
(918) 790-2305
Mailing address
PO BOX 369, SALLISAW, OK 74955-0369
(918) 790-2305
(918) 790-2305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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