Fresh Air Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

231459 Issued in OK

Legal business name

FRESH AIR MEDICAL SUPPLY INC

Practice address

1415 W Main St Ste 100
Durant, OK 74701-4942

Phone

(580) 931-3053

Fax

(580) 931-3439

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shawn Hamil

Title

President

Phone

(580) 916-2816

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1013098813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W MAIN ST STE 100",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014942",
            "telephone_number": "580-931-3053",
            "fax_number": "580-931-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W MAIN ST STE 100",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747014942",
            "telephone_number": "580-931-3053",
            "fax_number": "580-931-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH AIR MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "HAMIL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-916-2816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "231459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kip Joseph Francis, DC
• Charlene M. Fraser, BA, BHRS 1
• Tela Lynn Frederick
• Lucas Freeman
• Jessica Leann French
• Elizabeth Friesen
• Chelsea Fromme, WELLNESS COACH
• Jade Fry
• Kelci Leilani Marie Furr
• Cody W. Futrell

• Durable Medical Equipment & Medical Supplies in Durant, OK
• Providers in Durant, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.