Organization Active NPI

Premier Medical Rental Corp

  • Durable Medical Equipment & Medical Supplies
  • Idabel, OK
National Provider Identifier
1437684289
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER MEDICAL RENTAL CORP
Practice address
2110 SE Washington St Ste a
Idabel, OK 74745-5425
Phone
(580) 208-2020
Fax
(580) 208-2114
NPI assigned
Apr 28, 2017
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Mr. Brad Oliver
Title
Co-Owner
Phone
(580) 208-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OK Primary

Addresses

Primary practice location

2110 SE Washington St Ste a
Idabel, OK 74745-5425

Mailing address

2110 SE Washington St Ste a
Idabel, OK 74745-5425
Phone (580) 208-2020

National Provider Directory

National Provider Directory

Locations

2106 E Washington St
Ste C
Idabel, OK 74745
Phone (580) 208-2020

2110 E Washington St
Idabel, OK 74745
Phone (580) 286-2020

2110 E Washington St
#A
Idabel, OK 74745
Phone (580) 208-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1437684289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SE WASHINGTON ST STE A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455425",
            "telephone_number": "580-208-2020",
            "fax_number": "580-208-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SE WASHINGTON ST STE A",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455425",
            "telephone_number": "580-208-2020",
            "fax_number": "580-208-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL RENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "580-208-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.