Mach One Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MACH ONE MEDICAL, INC.

Practice address

107 E Creek Ave
Sallisaw, OK 74955-4652

Phone

(918) 790-2305

Fax

(918) 790-2305

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam B Lovern

Title

President

Phone

(918) 208-1282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669573267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550369",
            "telephone_number": "918-790-2305",
            "fax_number": "918-790-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E CREEK AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554652",
            "telephone_number": "918-790-2305",
            "fax_number": "918-790-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACH ONE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVERN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-208-1282",
        "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": []
}

• Benjamin Andrew Long
• Terri Leigh Long, RN
• Todd Andrew Long
• Andrew Ross Lorenz
• Lotus Medical LLC
• Cathy Mack, LPC
• Amber Dawn Mahar, APRN
• Delayna Lynne Marion
• Vera Marie Martin
• Vince Russell Martin, P.A.

• Durable Medical Equipment & Medical Supplies in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• 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.