LAKE COUNTRY MEDICAL SUPPLIES, LLC; NPI #1114920816

Contact Information

LAKE COUNTRY MEDICAL SUPPLIES, LLC

744 S MISSISSIPPI AVE
ATOKA, OK 74525-3355

Phone: 580-889-7878
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier
Dialysis Equipment & Supplies	332BD1200X	87	All Other Suppliers
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Nursing Facility Supplies	332BN1400X	87	All Other Suppliers
Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers

Indicates primary specialty

Edit contact information

NPI Profile & details for LAKE COUNTRY MEDICAL SUPPLIES, LLC

NPI Number 1114920816

LBN Legal business name LAKE COUNTRY MEDICAL SUPPLIES, LLC

Authorized official VICTOR CLAY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2005

Last updated 06/25/2019 - About 7 years ago

Identifiers

OK	License #	57-S-940
OK	Medicaid	100813530A
OK	Other	742803495001	BLUE CROSS BLUE SHIELD

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.

Reviews for LAKE COUNTRY MEDICAL SUPPLIES, LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for LAKE COUNTRY MEDICAL SUPPLIES, LLC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers

CHERYL K BEGLEY
795 E BLACKJACK RD
ATOKA, OK

MIRACLE DURABLE MEDICAL EQUIPMENT INC
208 W. EVERGREEN STREET
DURANT, OK

DURANT MEDICAL SUPPLY, INC.
1028 CRISWELL DR STE 102
DURANT, OK

KELLEY MEDICAL EQUIPMENT AND SUPPLY LLC
117 MARKET SQUARE
DURANT, OK

VICTORY MEDICAL EQUIPMENT
710 E MAIN
TISHOMINGO, OK

RHEAGAN D BALLARD, M.S., CCC-SLP
201 N 5TH AVE
ACHILLE, OK

CHARLES W LINDELL
107 E BEECH
ACHILLE, OK

AKEEMIA L HOLDER
YOUTH CARE OF OKLAHOMA
713 SW C AVENUE, OK

ACELLERATED INTERVENTIONAL ORTHOPEDICS
3414 NW CACHE
LAWTON, OK

View all Suppliers