Bent Willow Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BENT WILLOW INC

Practice address

605 N Main St
Eufaula, OK 74432-1634

Phone

(918) 689-9940

Fax

(918) 689-7557

NPI assigned

Feb 13, 2007

Organization subpart

No

Locations

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

Authorized official

Name

Larry Hoffman

Title

President

Phone

(918) 689-9940

Specialties & licenses 1

Addresses

Other names 1

• LAKESIDE PHARMACY Doing business as

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215079595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321634",
            "telephone_number": "918-689-9940",
            "fax_number": "918-689-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744321634",
            "telephone_number": "918-689-9940",
            "fax_number": "918-689-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENT WILLOW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-689-9940"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie E Arnold, A.R.N.P.
• Jennifer Babek, MS, LMFT
• Bee Well Family Healthcare LLC
• Sharla Beebe
• Billy C Beets Jr., M.D.
• Myra Lea Berry, APRN
• Vicki Dale Berry
• Kyla Beshears, PTA
• BHC
• BHC, LLC

• All providers in Eufaula, OK
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.