Provider Demographics
NPI:1376732529
Name:SUMMIT MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:SUMMIT MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BEVILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-819-1600
Mailing Address - Street 1:1404 NW 149TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1526
Mailing Address - Country:US
Mailing Address - Phone:405-819-1600
Mailing Address - Fax:405-286-0509
Practice Address - Street 1:1404 NW 149TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1526
Practice Address - Country:US
Practice Address - Phone:405-819-1600
Practice Address - Fax:405-286-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies