Provider Demographics
NPI:1902823685
Name:U.S. MEDICAL LLC
Entity Type:Organization
Organization Name:U.S. MEDICAL LLC
Other - Org Name:U.S. HOME MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOEWEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PURVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-591-0341
Mailing Address - Street 1:301 SW B AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-4054
Mailing Address - Country:US
Mailing Address - Phone:580-591-0341
Mailing Address - Fax:580-351-9404
Practice Address - Street 1:301 SW B AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-4054
Practice Address - Country:US
Practice Address - Phone:580-591-0341
Practice Address - Fax:580-351-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200072180AMedicaid
OK200072180AMedicaid