Organization
CENTRAL HEALTH SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA HARVEY (OWNER)
(405) 273-5208
Entity
Organization
Contact information
Practice address
1432 W UNIVERSITY BLVD, DURANT, OK 74701-3106
(580) 931-8380
(580) 931-8381
Mailing address
125 W MACARTHUR ST, SHAWNEE, OK 74804-2027
(405) 273-5208
(405) 273-5235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
176189
OK
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
176189
OK
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
27-S-1129
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812700B
—
OK
Enumeration date
06/12/2006
Last updated
11/21/2011
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