Provider Demographics
NPI:1851540975
Name:ONECARE
Entity Type:Organization
Organization Name:ONECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-230-9407
Mailing Address - Street 1:1101 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-4249
Mailing Address - Country:US
Mailing Address - Phone:580-230-9407
Mailing Address - Fax:866-764-1580
Practice Address - Street 1:1101 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-4249
Practice Address - Country:US
Practice Address - Phone:580-230-9407
Practice Address - Fax:866-764-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies