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PRUITT CO. OF ADA INC NPI 1962483636


NPI Information

NPI: 1962483636
Provider Name: PRUITT CO. OF ADA, INC

Doing Business As: PRUITT CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
402 E 12TH ST
ADA, OK
ZIP 74820
Phone: (580) 332-3523
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PRUITT CO. OF ADA, INC is a durable medical equipment medical supplies in Ada, 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. PRUITT CO. OF ADA, INC NPI is 1962483636. The provider is registered as an organization entity type.
The provider Is Doing Business As Pruitt Care.

The provider's business location address is:

402 E 12TH ST
ADA, OK
ZIP 74820-602
Phone: (580) 332-3523
Fax: (580) 310-0730

The provider's authorized official is Tammy Pruitt Prentice .
The authorized official title is Owner/corporate Officer/manager and has the following contact phone number (580) 332-3523.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 4/20/2008.


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 SuppliesYes

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
10598890001MEDICARE NSCOKLAHOMA
2=========001OTHEROKLAHOMABLUE CROSS BLUE SHIELD OK

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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