Organization Active NPI

Home Care Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Wilburton, OK
National Provider Identifier
1780676320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME CARE MEDICAL SUPPLIES INC
Practice address
9128 NW Hwy 2
Wilburton, OK 74578
Phone
(918) 465-2626
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jackie C Browne
Title
VP of Operations
Phone
(918) 465-2626

Specialties & licenses 1

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

Addresses

Primary practice location

9128 NW Hwy 2
Wilburton, OK 74578

Mailing address

9128 NW Hiway
#2
Wilburton, OK 74578
Phone (918) 465-5726

Other identifiers 1

IdentifierTypeStateIssuer
C08485131OtherSUBMITTER #

National Provider Directory

National Provider Directory

Locations

9128 NW Highway 2
Wilburton, OK 74578
Phone (918) 465-2626

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780676320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 NW HIWAY",
            "address_2": "#2",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "74578",
            "telephone_number": "918-465-5726",
            "fax_number": "918-465-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 NW HWY 2",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "74578",
            "telephone_number": "918-465-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "918-465-2626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER #",
            "identifier": "C08485131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilburton, 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.