Organization Active NPI

Devine Corporation

  • Oxygen Equipment & Supplies (DME)
  • Collinsville, OK
National Provider Identifier
1508047424
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
2-S-1175 Issued in OK
Legal business name
DEVINE CORPORATION
Practice address
918 W Broadway St
Ste B
Collinsville, OK 74021-2431
Phone
(918) 371-6997
Fax
(918) 371-6997
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mr. Ronald D Richardson
Title
President
Phone
(918) 371-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 2-S-1175 OK Primary

Addresses

Primary practice location

918 W Broadway St
Ste B
Collinsville, OK 74021-2431

Mailing address

918 W Broadway St
Ste B
Collinsville, OK 74021-2431
Phone (918) 371-6997

Other names 1

  • Devine Healthcare Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

918 W Broadway St
Ste B
Collinsville, OK 74021
Phone (918) 371-6997

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1508047424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W BROADWAY ST",
            "address_2": "STE B",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740212431",
            "telephone_number": "918-371-6997",
            "fax_number": "918-371-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W BROADWAY ST",
            "address_2": "STE B",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740212431",
            "telephone_number": "918-371-6997",
            "fax_number": "918-371-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-371-6997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "2-S-1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.