Provider Demographics
NPI:1275509606
Name:B & B MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:B & B MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-235-9548
Mailing Address - Street 1:2236 NW 10TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5658
Mailing Address - Country:US
Mailing Address - Phone:405-235-9548
Mailing Address - Fax:405-272-0889
Practice Address - Street 1:2236 NW 10TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-5658
Practice Address - Country:US
Practice Address - Phone:405-235-9548
Practice Address - Fax:405-272-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK89087002001OtherBLUE CROSS BLUE SHIELD
OK57095OtherNORTHWOOD NPN
OK89087002001OtherBLUE CROSS BLUE SHIELD
OK89087002001OtherBLUE CROSS BLUE SHIELD