Active NPI
Sherrill'S Respiratory & Diabetic
- Durable Medical Equipment & Medical Supplies
- Broken Bow, OK
National Provider Identifier
1396750873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3634
- Legal business name
- SHERRILL'S RESPIRATORY & DIABETIC
- Practice address
- 103 Main St
Broken Bow, OK 74728-3973 - Phone
- (580) 286-5745
- Fax
- (580) 286-5742
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Walt T Sain
- Title
- Owner
- Phone
- (580) 286-5745
National Provider Directory
National Provider DirectoryLocations
103 Main St
Broken Bow, OK 74728
Phone (580) 286-5745
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3634 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
103 Main St
Broken Bow, OK 74728-3973
Mailing address
PO Box 1247
Broken Bow, OK 74728-1247
Phone (580) 286-5745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396750873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1247",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747281247",
"telephone_number": "580-286-5745",
"fax_number": "580-286-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747283973",
"telephone_number": "580-286-5745",
"fax_number": "580-286-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRILL'S RESPIRATORY & DIABETIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAIN",
"authorized_official_first_name": "WALT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-286-5745"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OK",
"license": "3634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Bow, OK
Sources for this page
- 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.