Organization
VINITA MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WILLIAM PALMER (OWNER)
(918) 323-0441
Entity
Organization
Contact information
Practice address
405 N WILSON ST, VINITA, OK 74301-2432
(918) 323-0441
(918) 323-0442
Mailing address
405 NORTH WILSON, VINITA, OK 74301-4245
(918) 323-0441
(918) 323-0442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400812990A
—
OK
Enumeration date
08/13/2006
Last updated
07/21/2022
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