OKLAHOMA ADVANTAGE STOREHOUSE, LLC (NPI# 1962911123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962911123 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA ADVANTAGE STOREHOUSE, LLC |
| Practice Address |
403 N Main St Fairfax OK 74637-1547 |
| Practice Telephone | (918) 642-5492 |
| Practice Fax Number | 9186421277 |
| Mailing Telephone | 9186425492 |
| Mailing Fax Number | 9186421277 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | WILLIAM LANCE MADISON (PRESIDENT) |
| Authorized Official Telephone | 9183061549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
403 N MAIN ST |
| City | FAIRFAX |
| State | OK |
| Zip Code | 74637-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588725485 | Michael S Ben Inc PC | Dentist | 161 N 2nd Street, Fairfax, OK 74637 | 2006-12-13 |
| 1306145339 | Cah Acquisition Company 12 LLC | Clinic/Center | 40 Hospital Rd, Fairfax, OK 74637 | 2011-03-16 |
| 1134451396 | Cah Acquisition Company 12 LLC | Medicare Defined Swing Bed Unit | 40 Hospital Rd, Fairfax, OK 74637 | 2010-02-12 |
| 1376554006 | Fairfax Healthcare Properties,llc | General Acute Care Hospital | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2006-08-10 |
| 1922143098 | Fairfax Healthcare Properties,l.l.c. | Medicare Defined Swing Bed Unit | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-20 |
| 1679613970 | Elmer Gari Owens | Physician Assistant | Hwy 18 & Taft Avenue, Fairfax, OK 74637-0219 | 2007-02-07 |
| 1861502635 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 115 W. Maple, Fairfax, OK 74637-1533 | 2006-08-30 |
| 1780853382 | Wanda W Priddy | Social Worker | 301 N 2nd St, Fairfax, OK 74637-2012 | 2008-02-27 |
| 1689628711 | Jean M Helmbright | Psychiatry & Neurology | 301 N 2nd St, Fairfax, OK 74637-2012 | 2006-05-22 |
| 1518073006 | Michael S Ben | Dentist | 161 N 2nd St, Fairfax, OK 74637-2063 | 2006-08-21 |
| Find all providers in zip 74637 | ||||
| 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 |
|---|---|---|---|---|
| 1932718459 | Centers for Advanced Orthopaedics LLC | Durable Medical Equipment & Medical Supplies | 3700 Joseph Siewick Dr Ste 206, Fairfax, VA 22033-1738 | 2020-07-30 |
| 1972074771 | Us Mobility | Durable Medical Equipment & Medical Supplies | 10332 Main St Ste 161, Fairfax, VA 22030-2410 | 2018-12-06 |
| 1083147094 | Rebuilding Together Arlington/fairfax/falls Church | Durable Medical Equipment & Medical Supplies | 10723 Main St # 135, Fairfax, VA 22030-6905 | 2017-04-06 |
| 1770025124 | 1st Adult&pediatric Medical Suppliesllc | Durable Medical Equipment & Medical Supplies | 10650 Main St Ste 102, Fairfax, VA 22030-3814 | 2016-11-15 |
| 1518319508 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8221 Willow Oaks Corporate Dr Ste 450, Fairfax, VA 22031-4512 | 2016-07-01 |
| 1114391604 | Stone Springs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10721 Main St Ste 107, Fairfax, VA 22030-6902 | 2015-11-20 |
| 1285007849 | Bravadas of Fairfax LLC | Durable Medical Equipment & Medical Supplies | 11204 Lee Highway, Fairfax, VA 22030 | 2015-11-04 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1336495753 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2904 District Ave S, Ste 400, Fairfax, VA 22031-2278 | 2012-08-03 |
| 1346511896 | Metro Medical | Durable Medical Equipment & Medical Supplies | 8300 Arlington Blvd, Suite B-1, Fairfax, VA 22031-5217 | 2012-01-14 |
| Find all providers in FAIRFAX | ||||
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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.