GRACE MEDICAL EQUIPMENT, LLC. (NPI# 1508950197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508950197 |
| Entity Type | Organization |
| Organization Name | GRACE MEDICAL EQUIPMENT, LLC. |
| Practice Address |
1516 N. Grand Ave Tahlequah OK 74464 |
| Mailing Address |
1516 N Grand Ave Tahlequah OK 74464-6318 |
| Practice Telephone | 9184539600 |
| Practice Fax Number | 9184539601 |
| Mailing Telephone | 9184539600 |
| Mailing Fax Number | 9184539601 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | MR. NATHAN PAUL PENNINGTON (MANAGING MEMBER) |
| Authorized Official Telephone | 9184539600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
36-S-1169 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200081550A | 05 |
| Street Address |
1516 N. GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720175292 | Medic-aire of Tahlequah, Inc. | Durable Medical Equipment & Medical Supplies | 17900 Muskogee Avenue, Tahlequah, OK 74464-5494 | 2006-10-06 |
| 1881623726 | Mobility Plus LLC | Durable Medical Equipment & Medical Supplies | 1211 S Parkhill Rd, Tahlequah, OK 74464-5235 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314665 | Bcw Group LLC | Durable Medical Equipment & Medical Supplies | 3701 S 9th Ave, Durant, OK 74701-1989 | 2018-04-30 |
| 1992079438 | Prime Source Dme of Oklahoma | Durable Medical Equipment & Medical Supplies | 6810 E 40th St Ste A, Tulsa, OK 74145-4510 | 2012-03-01 |
| 1235416207 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 1047 E Main St, Suite #2, Cushing, OK 74023-2839 | 2011-11-04 |
| 1013292267 | Procare Healing Centers, LLP | Durable Medical Equipment & Medical Supplies | 1208 N Council Rd, Oklahoma City, OK 73127-4987 | 2011-10-19 |
| 1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
| 1760715585 | Alternacare Inc | Durable Medical Equipment & Medical Supplies | 1100 W Cherokee Ave, Sallisaw, OK 74955-4025 | 2009-09-11 |
| 1003149022 | Apollo Services Inc. | Durable Medical Equipment & Medical Supplies | 1500 Sw Frank Phillips Blvd, Bartlesville, OK 74003-3127 | 2009-09-09 |
| 1518199876 | Indian Territory Home Health Inc | Durable Medical Equipment & Medical Supplies | 2112 W Broadway Ave, Suite B, Sulphur, OK 73086-4200 | 2009-08-19 |
| 1992936090 | Medical West Respiratory Central, LLC | Durable Medical Equipment & Medical Supplies | 608 West 18th Street, Edmond, OK 73013 | 2009-08-06 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 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.