SHARE MEDICAL CENTER (NPI# 1669704243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669704243 |
| Entity Type | Organization |
| Organization Name | SHARE MEDICAL CENTER |
| Other Organization Name | SHARE DME |
| Practice Address |
800 Share Dr Alva OK 73717-3618 |
| Mailing Address |
Po Box 727 Alva OK 73717-0727 |
| Practice Telephone | 5803272800 |
| Practice Fax Number | 5804303332 |
| Mailing Telephone | 5804303387 |
| Mailing Fax Number | 5804303393 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-11-22 |
| Authorized Official Name | MR. DENNIS SHELBY (CEO) |
| Authorized Official Telephone | 5804303340 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHARE MEDICAL CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699830E | 05 |
| Other Name | Type Code |
|---|---|
| Share DME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497945851 | Share Medical Center | Family Medicine | 410 4th St Ste G, Alva, OK 73717-2363 | 2007-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHARE MEDICAL CENTER | 800 Share Dr, Alva, OK 73717-3618 |
| Street Address |
800 SHARE DR |
| City | ALVA |
| State | OK |
| Zip Code | 73717-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475275 | James Robert Colvert Jr. | Internal Medicine | 800 Share Dr, Alva, OK 73717-3618 | 2006-08-14 |
| 1013574789 | Jeremy D Logsdon | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2019-05-28 |
| 1538675624 | Erin Paige Kruckenberg | Family Medicine | 800 Share Dr, Alva, OK 73717 | 2017-12-27 |
| 1801293790 | Darlene Reynolds | Occupational Therapy Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2014-11-20 |
| 1124447305 | Gwyneth Leigh Holderby | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2014-04-15 |
| 1164737458 | Kasey L Swayden | Physician Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2010-08-11 |
| 1144534603 | Alva Hospital Authority | Psychologist | 800 Share Dr, Alva, OK 73717-3618 | 2010-07-27 |
| 1023130689 | Bryan Nutter | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2007-04-04 |
| 1679684682 | Alva Hospital Authority | Medicare Defined Swing Bed Unit | 800 Share Dr, Alva, OK 73717-3618 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382441 | Callie Mosburg | Optometrist | 921 Oklahoma Blvd Ste A, Alva, OK 73717 | 2015-07-27 |
| 1912238924 | Molly Mae Thompson | Counselor | 510 5th St., Alva, OK 73717 | 2010-01-15 |
| 1023214939 | Michelle Baird | Counselor | 429 Barnes Street, Alva, OK 73717 | 2007-06-26 |
| 1619171253 | Stacie Nixon | Counselor | 429 Barnes St, Alva, OK 73717 | 2007-06-14 |
| 1235351552 | Northwest Domestic Crisis Services, Inc. | Community/Behavioral Health | 1330 Oklahoma Blvd., Alva, OK 73717 | 2007-05-03 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| 1396835013 | Holder-southern Drug Company Inc | Pharmacy | 513 Barnes Ave, Alva, OK 73717 | 2006-10-13 |
| 1407968621 | Brent Michael Bogdanovecz | Chiropractor | 317 College Ave, Alva, OK 73717 | 2006-09-01 |
| 1225341803 | Michael Duane Elsey | Counselor | 510 5th St., Alva, OK 73717 | 2010-07-23 |
| Find all providers in zip 73717 | ||||
| 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 |
|---|---|---|---|---|
| 1962429084 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 914 E Oklahoma Blvd, Alva, OK 73717-4010 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 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.