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State Of Oklahoma
Prosthetic/Orthotic Supplier in Okmulgee, Oklahoma
NPI 1770544769

State Of Oklahoma is a Prosthetic/Orthotic Supplier based in Okmulgee, OK. State Of Oklahoma practices in Okmulgee, OK. The NPI Number for State Of Oklahoma is 1770544769 and holds a License No. 3 (Oklahoma).

The current practice location address for State Of Oklahoma is 1801 E 4Th St, Okmulgee, OK and can be reached out via phone at 918-293-5155 and via fax at 918-293-5407.

Location: 1801 E 4Th St, Okmulgee, OK, 74447-8501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770544769
Provider Name
State Of Oklahoma
Credential
Provider Entity Type
Organization
Address
1801 E 4Th St, Okmulgee, OK, 74447-8501
Phone Number
918-293-5155
Fax Number
918-293-5407
Provider Enumeration Date
03/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NO NUMBER TO DATE 01 OK COMMUNITY CARE HEALTH
NO NUMBER 01 OK LIMBS FOR LIFE
NO NUMBER 01 OK OKLAHOMA REHAB.
NO NUMBER TO DATE 01 OK CREEK NATION
NO NUMBER TO DATE 01 OK VETERANS ADMIN. HOSP.
institution
Provider Business Practice Location Address Details
Address
1801 E 4Th St
City
Okmulgee
State
Oklahoma
Zip
74447-3942
Phone Number
918-293-5155
Fax Number
918-293-5407
person
Provider Business Mailing Address Details
Address
1801 E 4Th St
City
Okmulgee
State
Oklahoma
Zip
74447-3942
Phone Number
918-293-5155
Fax Number
918-293-5407
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
3 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
3 (Oklahoma)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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