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CARESOURCE LLC NPI 1447249719


NPI Information

NPI: 1447249719
Provider Name: CARESOURCE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 37D2192742

Address:
4350 WILL ROGERS PKWY
OKLAHOMA CITY, OK
ZIP 73108
Phone: (405) 948-2822
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CARESOURCE, LLC is a durable medical equipment medical supplies in Oklahoma City, 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, LLC NPI is 1447249719. The provider is registered as an organization entity type.

The provider's business location address is:

4350 WILL ROGERS PKWY
OKLAHOMA CITY, OK
ZIP 73108-826
Phone: (405) 948-2822
Fax: (405) 948-2811

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 37D2192742 - other - dme/cpap provider with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100808040AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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