Provider Demographics
NPI:1558398560
Name:RAFP ENTERPRISES, INC
Entity Type:Organization
Organization Name:RAFP ENTERPRISES, INC
Other - Org Name:WOMENS HEALTH BOUTIQUE # 15
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KARNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-936-0030
Mailing Address - Street 1:12062 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-6807
Mailing Address - Country:US
Mailing Address - Phone:405-936-0030
Mailing Address - Fax:405-936-0031
Practice Address - Street 1:12062 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6807
Practice Address - Country:US
Practice Address - Phone:405-936-0030
Practice Address - Fax:405-936-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK122663000-101OtherBCBS PROVIDER ID
OK=========OtherPACIFICARE PROVIDER ID
OK=========OtherSECUREHORIZONS PROVIDERID
OK=========OtherTRICARE PROVIDER ID
OK122663000-101OtherBCBS PROVIDER ID
OK=========OtherHEALTHCHOICE PROVIDER ID
OK=========OtherHOMELINK PROVIDER ID
OK=========OtherGLOBAL HEALTH PROVIDER ID
OK=========OtherOSMA PROVIDER ID
OK=========OtherTRICARE PROVIDER ID