Organization
ACS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE SUE COAKLEY (MANAGING MEMBER)
(405) 879-1800
Entity
Organization
Contact information
Practice address
6516 N OLIE AVE, STE A, OKLAHOMA CITY, OK 73116-7399
(405) 879-1800
(405) 879-1805
Mailing address
6516 N OLIE AVE, STE A, OKLAHOMA CITY, OK 73116-7399
(405) 879-1800
(405) 879-1805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033940A
—
OK
Enumeration date
07/21/2005
Last updated
06/20/2008
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