Provider Demographics
NPI:1306009725
Name:FOUNDATION HEALTHCARE PRODUCTS, LLC
Entity Type:Organization
Organization Name:FOUNDATION HEALTHCARE PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MICHAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-608-1700
Mailing Address - Street 1:13900 N PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-4042
Mailing Address - Country:US
Mailing Address - Phone:405-608-1700
Mailing Address - Fax:405-608-1800
Practice Address - Street 1:13900 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-4042
Practice Address - Country:US
Practice Address - Phone:405-608-1700
Practice Address - Fax:405-608-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies