Provider Demographics
NPI:1467752816
Name:CAREFREE HEALTH SERVICES OF OKLAHOMA INC.
Entity Type:Organization
Organization Name:CAREFREE HEALTH SERVICES OF OKLAHOMA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:PANIK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:800-266-9910
Mailing Address - Street 1:3600 NW 138TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2503
Mailing Address - Country:US
Mailing Address - Phone:800-266-9910
Mailing Address - Fax:800-401-7126
Practice Address - Street 1:3600 NW 138TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2503
Practice Address - Country:US
Practice Address - Phone:800-266-9910
Practice Address - Fax:800-401-7126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREFREE HEALTH SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies