Provider Demographics
NPI:1063745164
Name:HOPE HOME MEDICAL SUPPLIES
Entity type:Organization
Organization Name:HOPE HOME MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-967-2800
Mailing Address - Street 1:108 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462-2715
Mailing Address - Country:US
Mailing Address - Phone:918-967-2800
Mailing Address - Fax:918-967-2808
Practice Address - Street 1:108 NW 10TH ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2715
Practice Address - Country:US
Practice Address - Phone:918-967-2800
Practice Address - Fax:918-967-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6362080001Medicare NSC