MIRACLE DURABLE MEDICAL EQUIPMENT INC (NPI# 1477663797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477663797 |
| Entity Type | Organization |
| Organization Name | MIRACLE DURABLE MEDICAL EQUIPMENT INC |
| Other Organization Name | BREATH OF LIFE |
| Practice Address |
208 W. Evergreen Street Durant OK 74701 |
| Mailing Address |
Po Box 1395 Sherman TX 75091-1395 |
| Practice Telephone | 5809243900 |
| Practice Fax Number | 5809243902 |
| Mailing Telephone | 5809243900 |
| Mailing Fax Number | 5809243902 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | CATHEY L. DUNN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9724233830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0064720 | TX | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 27-5-3314 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS OF TEXAS | 531794 | 01 |
| OK | 200493700A | 05 | |
| TX | 153613801 | 05 |
| Other Name | Type Code |
|---|---|
| Breath Of Life | Doing Business As Name - Organization |
| Street Address |
208 W. EVERGREEN STREET |
| City | DURANT |
| State | OK |
| Zip Code | 74701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687823 | Okweb LLC | Durable Medical Equipment & Medical Supplies | 3324 Carriage Point Dr, Durant, OK 74701-2286 | 2014-07-19 |
| 1487088191 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1250 W Main St, Durant, OK 74701-4932 | 2013-08-29 |
| 1811215171 | Kelley Medical Equipment and Supply LLC | Durable Medical Equipment & Medical Supplies | 117 Market Square, Durant, OK 74701 | 2010-05-12 |
| 1881872190 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 302 University Pl, Durant, OK 74701-7110 | 2008-02-08 |
| 1861541583 | Shannon Pritchard | Durable Medical Equipment & Medical Supplies | 425 E Madison St, Durant, MS 39063-3715 | 2007-01-10 |
| 1396817821 | Reability Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2912 Enterprise Dr, Suite B1, Durant, OK 74701-1963 | 2006-11-13 |
| 1013098813 | Fresh Air Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1415 W Main St Ste 100, Durant, OK 74701-4942 | 2006-10-18 |
| 1609967751 | Durant Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1028 Criswell Dr Ste 102, Durant, OK 74701 | 2006-09-27 |
| 1417974544 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3712 W Main St, Durant, OK 74701-4529 | 2006-07-16 |
| 1750323036 | Central Health Services, L.L.C. | Durable Medical Equipment & Medical Supplies | 1432 W University Blvd, Durant, OK 74701-3106 | 2006-06-12 |
| Find all providers in DURANT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.