Indian Territory Home Health Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

65-S-1100 Issued in OK

Legal business name

INDIAN TERRITORY HOME HEALTH INC

Doing business as

Indian Territory Durable Medical Equipment

Practice address

105 N Broadway St
Walters, OK 73572-1257

Phone

(580) 875-9138

Fax

(580) 875-3011

NPI assigned

Jan 8, 2008

Last updated

Jun 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIAN TERRITORY HOME HEALTH INCAs reported in NPPES

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

Authorized official

Name

Linda Moore

Title

Director

Phone

(580) 371-9151

Specialties & licenses 1

Addresses

Other names 1

• Indian Territory Durable Medical Equipment Doing business as

Part of

Indian Territory Home Health Inc

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1710162896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602413",
            "telephone_number": "580-875-9138",
            "fax_number": "580-875-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BROADWAY ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735721257",
            "telephone_number": "580-875-9138",
            "fax_number": "580-875-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN TERRITORY HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIAN TERRITORY HOME HEALTH INC",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-371-9151"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "65-S-1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Territory Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinton D Kerr
• Jennifer King
• Lanette Kopaddy
• Floyd J Lashley Jr., MD

• Oxygen Equipment & Supplies (DME) in Walters, OK
• Providers in Walters, OK by specialty
• Oxygen Equipment & Supplies (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.