Provider Demographics
NPI:1134424484
Name:TOP MEDICAL SUPPLY
Entity type:Organization
Organization Name:TOP MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCANTLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-647-7456
Mailing Address - Street 1:34921 ALMA LOU LN
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-5020
Mailing Address - Country:US
Mailing Address - Phone:918-647-7456
Mailing Address - Fax:
Practice Address - Street 1:1202 S MCKENNA STREET
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-4918
Practice Address - Country:US
Practice Address - Phone:918-647-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies