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Contact Information

AMELIA GAYLE LEE
530 HUNTER AVE
BOSWELL, OK74727-0275
 Phone: 580-566-1938
 Fax: 580-566-1939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for AMELIA GAYLE LEE

NPI Number 1083657753
LBN Legal business name AMELIA GAYLE LEE
Authorized official AMELIA LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 06/13/2008 - About 18 years ago
Identifiers
OK License # 39-S-1120
OK License # OK-1504-XX-O
OK Medicaid 200062240A
OK Medicaid 200114960A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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