BEAVER COUNTY MEMORIAL HOSPITAL NPI 1013195684

NPI Information

NPI: 1013195684
Provider Name: BEAVER COUNTY MEMORIAL HOSPITAL

Doing Business As: COMMUNITY PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

Address:
212 EAST 8TH STREET
BEAVER, OK
ZIP 73932
Phone: (580) 625-3646
Get Directions

BEAVER COUNTY MEMORIAL HOSPITAL is a durable medical equipment medical supplies in Beaver, OK. The provider is 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. BEAVER COUNTY MEMORIAL HOSPITAL NPI is 1013195684. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy.

The provider's business location address is:

212 EAST 8TH STREET
BEAVER, OK
ZIP 73932
Phone: (580) 625-3646
Fax: (580) 625-3844

The provider's authorized official is Alissa Schlessman .
The authorized official title is Administrator and has the following contact phone number (580) 625-4551.

The CLIA number assigned to this NPI record is 37D0879813 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		693029	OKLAHOMA	Yes
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	693029	OKLAHOMA	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	693029	OKLAHOMA	No
4	3336C0003X	Pharmacy	Community/Retail Pharmacy	693029	OKLAHOMA	No
5	3336I0012X	Pharmacy	Institutional Pharmacy	693029	OKLAHOMA	No
6	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
7	3336L0003X	Pharmacy	Long Term Care Pharmacy	693029	OKLAHOMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100700760C	MEDICAID	OKLAHOMA
2	90003921830	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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