Organization Active NPI

Vinita Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Vinita, OK
National Provider Identifier
1902818156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VINITA MEDICAL EQUIPMENT & SUPPLIES
Practice address
405 N Wilson St
Vinita, OK 74301-2432
Phone
(918) 323-0441
Fax
(918) 323-0442
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jason William Palmer
Title
Owner
Phone
(918) 323-0441

Specialties & licenses 1

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

Addresses

Primary practice location

405 N Wilson St
Vinita, OK 74301-2432

Mailing address

405 North Wilson
Vinita, OK 74301-4245
Phone (918) 323-0441

Other identifiers 1

IdentifierTypeStateIssuer
1400812990AMedicaidOK

National Provider Directory

National Provider Directory

Locations

405 N Wilson St
Vinita, OK 74301
Phone (918) 323-0441

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902818156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NORTH WILSON",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014245",
            "telephone_number": "918-323-0441",
            "fax_number": "918-323-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012432",
            "telephone_number": "918-323-0441",
            "fax_number": "918-323-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINITA MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-323-0441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400812990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.