Provider Demographics
NPI:1578939823
Name:PATIENTS' CHOICE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:PATIENTS' CHOICE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-938-5436
Mailing Address - Street 1:1307 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHATTUCK
Mailing Address - State:OK
Mailing Address - Zip Code:73858-9222
Mailing Address - Country:US
Mailing Address - Phone:580-938-5436
Mailing Address - Fax:
Practice Address - Street 1:1360 S CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822-8652
Practice Address - Country:US
Practice Address - Phone:870-898-7777
Practice Address - Fax:870-898-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies