JIREH MEDICAL, LLC (NPI# 1336369404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336369404 |
| Entity Type | Organization |
| Organization Name | JIREH MEDICAL, LLC |
| Practice Address |
1312 Commercial Ave Mounds OK 74047-0000 |
| Mailing Address |
Po Box 308 Mounds OK 74047-0308 |
| Practice Telephone | 9188277600 |
| Practice Fax Number | 9188277667 |
| Mailing Telephone | 9188277600 |
| Mailing Fax Number | 9188277667 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | MR. KYLE DEAN RACKLEY (PRESIDENT) |
| Authorized Official Telephone | 9188277600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
11-6330 | OK | Suppliers |
| N | 333600000X | Pharmacy | 11-6330 | OK | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11-6330 | OK | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
11-6330 | OK | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1312 COMMERCIAL AVE |
| City | MOUNDS |
| State | OK |
| Zip Code | 74047-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467856153 | David Deere | Public Health or Welfare | 17713 S Sante Fe Pl, Mounds, OK 74047 | 2014-10-09 |
| 1427391143 | Samantha Jo Jerrell | Counselor | 7831 W 182nd St South, Mounds, OK 74047 | 2013-04-01 |
| 1326337999 | Nick Vernier | Marriage & Family Therapist | 1375 Shortcut Rd, Mounds, OK 74047 | 2011-04-04 |
| 1780866079 | Rapha Medical, LLC | Durable Medical Equipment & Medical Supplies | 1308 Commercial Avenue, Mounds, OK 74047 | 2007-11-29 |
| 1376929422 | Anna Vu | Pharmacist | 1419 Commercial Ave, Mounds, OK 74047 | 2015-07-30 |
| 1871771436 | Kristi Sue Presley | Pharmacy | 1419 Commercial Ave, Mounds, OK 74047 | 2008-02-06 |
| 1831125764 | Kristi S Piowaty | Pharmacist | 1419 Commercial Ave, Mounds, OK 74047-0032 | 2006-06-23 |
| 1235608696 | Brine and Beam Inc | Pharmacy | 1419 Commercial Ave, Mounds, OK 74047-0580 | 2018-11-15 |
| 1205139052 | Deandra L Mcdonald | Occupational Therapy Assistant | 622 Mcnabb, Mounds, OK 74047-0698 | 2010-12-17 |
| 1063849263 | Janie Leann Matney | Counselor | 15155 English Rd, Mounds, OK 74047-3937 | 2013-10-02 |
| Find all providers in zip 74047 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366683153 | Ez Carrier, LLC | Durable Medical Equipment & Medical Supplies | 975 Hwy 75, Mounds, OK 74047-4326 | 2009-03-09 |
| 1780866079 | Rapha Medical, LLC | Durable Medical Equipment & Medical Supplies | 1308 Commercial Avenue, Mounds, OK 74047 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1962013938 | Oklahoma Sleep Group LLC | Durable Medical Equipment & Medical Supplies | 2900 Nw 156th St, Edmond, OK 73013-2102 | 2020-08-13 |
| 1912516469 | Nature's Assist, LLC | Durable Medical Equipment & Medical Supplies | 4815 S Harvard Ave Ste 501, Tulsa, OK 74135-3069 | 2020-07-29 |
| 1144838392 | A Better Sleep LLC | Durable Medical Equipment & Medical Supplies | 5215 E 71st St Ste 1900, Tulsa, OK 74136-6347 | 2020-07-14 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1023632122 | Craig Mathew Hall | Durable Medical Equipment & Medical Supplies | 2540 N Moore Ave, Moore, OK 73160-3328 | 2020-06-04 |
| 1083236269 | Kareemah Mahasan Muhammad | Durable Medical Equipment & Medical Supplies | 1127 N Osage Dr, Tulsa, OK 74106-6909 | 2020-05-11 |
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1679193882 | Lil Dme LLC | Durable Medical Equipment & Medical Supplies | 20 E 9th St Ste 101, Shawnee, OK 74801-6987 | 2020-04-17 |
| 1609405950 | Alpine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 738 E 8th St, Warner, OK 74469-7446 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.