Provider Demographics
NPI:1508889569
Name:PMR, INC.
Entity Type:Organization
Organization Name:PMR, INC.
Other - Org Name:PREFERRED MEDICAL RESOURCES, INC.- OK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OAP
Authorized Official - Phone:405-286-5135
Mailing Address - Street 1:3636 NW 63RD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-2011
Mailing Address - Country:US
Mailing Address - Phone:405-286-5135
Mailing Address - Fax:405-286-5139
Practice Address - Street 1:3636 NW 63RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-2011
Practice Address - Country:US
Practice Address - Phone:405-286-5135
Practice Address - Fax:405-286-5139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100812120AMedicaid
OK731525536001OtherBCBS SUPPLIER NUMBER
OK4624950001Medicare NSC