Provider Demographics
NPI:1982757217
Name:MMS OKLAHOMA CITY INC.
Entity Type:Organization
Organization Name:MMS OKLAHOMA CITY INC.
Other - Org Name:MAJORS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:T
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-840-5272
Mailing Address - Street 1:415 W WILSHIRE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7702
Mailing Address - Country:US
Mailing Address - Phone:405-840-5272
Mailing Address - Fax:405-840-5274
Practice Address - Street 1:540 E VILAS RD
Practice Address - Street 2:SUITE #B
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-3278
Practice Address - Country:US
Practice Address - Phone:541-665-0133
Practice Address - Fax:541-665-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X
OK1-S-802332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR74410Medicaid
OR74410Medicaid