GAGE LUCKY 13 LLC (NPI# 1982878724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982878724 |
| Entity Type | Organization |
| Organization Name | GAGE LUCKY 13 LLC |
| Other Organization Name | TECUMSEH OXYGEN AND MEDICAL SUPPLY |
| Practice Address |
503 N Broadway St Tecumseh OK 74873 |
| Practice Telephone | 4055980223 |
| Practice Fax Number | 4055982833 |
| Mailing Telephone | 4055980223 |
| Mailing Fax Number | 4055982833 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | MRS. NICOLE GAGE (MEMBER/OWNER) |
| Authorized Official Telephone | 4055988629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200199380A | 05 |
| Other Name | Type Code |
|---|---|
| Tecumseh Oxygen and Medical Supply | Doing Business As Name - Organization |
| Street Address |
503 N BROADWAY ST |
| City | TECUMSEH |
| State | OK |
| Zip Code | 74873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962837872 | Stephannie S White | Physical Therapist | 503 N Broadway St, Tecumseh, OK 74873-2017 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309934 | Roger Blaine Morris | Counselor | 602 N. Harrison, Tecumseh, OK 74873 | 2019-08-01 |
| 1437495025 | Sherri Lynn Mccutcheon | Social Worker | 1300 S. 13th Street, Tecumseh, OK 74873 | 2012-12-31 |
| 1114166485 | Ed Wingfield | Dentist | 700 S. 9th, Tecumseh, OK 74873 | 2009-02-11 |
| 1588748172 | Charles Allen Sims Jr. | Dentist | 115 West Walnut St, Tecumseh, OK 74873 | 2006-10-24 |
| 1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
| 1427140086 | Tecumseh Medical Clinic PC | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873 | 2006-09-29 |
| 1750853677 | Melissa Capps | Behavior Technician | 21668 Lilly Dr, Tecumseh, OK 74873-0016 | 2018-12-18 |
| 1972962876 | Christine Loeffler | Radiology | 44493 State Highway 9, Tecumseh, OK 74873-0113 | 2016-02-19 |
| 1700813144 | Ronald M Wayt Dds Inc | Dentist | 1011 N Broadway, Suite 7, Tecumseh, OK 74873-0219 | 2006-06-28 |
| 1912968280 | Jenmark, LLC | Physical Therapist | 1011 N Broadway St, Suite 6, Tecumseh, OK 74873-1431 | 2006-03-28 |
| Find all providers in zip 74873 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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|---|---|---|---|---|
| 1104314665 | Bcw Group LLC | Durable Medical Equipment & Medical Supplies | 3701 S 9th Ave, Durant, OK 74701-1989 | 2018-04-30 |
| 1992079438 | Prime Source Dme of Oklahoma | Durable Medical Equipment & Medical Supplies | 6810 E 40th St Ste A, Tulsa, OK 74145-4510 | 2012-03-01 |
| 1235416207 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 1047 E Main St, Suite #2, Cushing, OK 74023-2839 | 2011-11-04 |
| 1013292267 | Procare Healing Centers, LLP | Durable Medical Equipment & Medical Supplies | 1208 N Council Rd, Oklahoma City, OK 73127-4987 | 2011-10-19 |
| 1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
| 1760715585 | Alternacare Inc | Durable Medical Equipment & Medical Supplies | 1100 W Cherokee Ave, Sallisaw, OK 74955-4025 | 2009-09-11 |
| 1003149022 | Apollo Services Inc. | Durable Medical Equipment & Medical Supplies | 1500 Sw Frank Phillips Blvd, Bartlesville, OK 74003-3127 | 2009-09-09 |
| 1518199876 | Indian Territory Home Health Inc | Durable Medical Equipment & Medical Supplies | 2112 W Broadway Ave, Suite B, Sulphur, OK 73086-4200 | 2009-08-19 |
| 1992936090 | Medical West Respiratory Central, LLC | Durable Medical Equipment & Medical Supplies | 608 West 18th Street, Edmond, OK 73013 | 2009-08-06 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| Find all providers with the same taxonomy | ||||
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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.