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BLUE MARBLE MEDICAL LLC NPI 1508302001


NPI Information

NPI: 1508302001
Provider Name: BLUE MARBLE MEDICAL, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
13112 SW 47TH ST
MUSTANG, OK
ZIP 73064
Phone: (405) 896-8311
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BLUE MARBLE MEDICAL, LLC is a durable medical equipment medical supplies in Mustang, 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. BLUE MARBLE MEDICAL, LLC NPI is 1508302001. The provider is registered as an organization entity type.

The provider's business location address is:

13112 SW 47TH ST
MUSTANG, OK
ZIP 73064-931
Phone: (405) 896-8311
Fax: (405) 896-8321

The provider's authorized official is Joseph A Schraad .
The authorized official title is President and has the following contact phone number (405) 896-8311.

The enumeration date for this NPI number is 1/9/2017 and was last updated on 1/9/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 5/5/2024

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