Provider Demographics
NPI:1619985280
Name:TALIHINA MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:TALIHINA MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LINKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:918-567-3151
Mailing Address - Street 1:312 DALLAS STREET
Mailing Address - Street 2:
Mailing Address - City:TALIHINA
Mailing Address - State:OK
Mailing Address - Zip Code:74571-0891
Mailing Address - Country:US
Mailing Address - Phone:918-567-3151
Mailing Address - Fax:918-569-4660
Practice Address - Street 1:312 DALLAS STREET
Practice Address - Street 2:
Practice Address - City:TALIHINA
Practice Address - State:OK
Practice Address - Zip Code:74571-0891
Practice Address - Country:US
Practice Address - Phone:918-567-3151
Practice Address - Fax:918-569-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100810650AMedicaid
OK100810650AMedicaid