Organization Active NPI

Sherrill'S Respiratory & Diabetic

  • Durable Medical Equipment & Medical Supplies
  • Broken Bow, OK
National Provider Identifier
1396750873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3634 Issued in OK
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 Directory

Locations

103 Main St
Broken Bow, OK 74728
Phone (580) 286-5745

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3634 OK Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.