CARESOURCE-TULSA LLC NPI 1013024710

NPI Information

CARESOURCE-TULSA, LLC is a durable medical equipment medical supplies in Broken Arrow, OK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CARESOURCE-TULSA, LLC NPI is 1013024710. The provider is registered as an organization entity type.

The provider's business location address is:

1400 SW EXPRESSWAY DR
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 250-7051
Fax: (918) 392-3442

The provider's authorized official is Larry Pierce .
The authorized official title is Executive Director and has the following contact phone number (405) 948-2822.

The CLIA number assigned to this NPI record is 37D2195890 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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