Provider Demographics
NPI:1124639075
Name:OSTOMY 2-1-1 INC
Entity type:Organization
Organization Name:OSTOMY 2-1-1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:K
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:OMS TRAINED
Authorized Official - Phone:405-243-8001
Mailing Address - Street 1:60 VERA PL
Mailing Address - Street 2:
Mailing Address - City:MCLOUD
Mailing Address - State:OK
Mailing Address - Zip Code:74851-9374
Mailing Address - Country:US
Mailing Address - Phone:405-243-8001
Mailing Address - Fax:888-203-6995
Practice Address - Street 1:60 VERA PL
Practice Address - Street 2:
Practice Address - City:MCLOUD
Practice Address - State:OK
Practice Address - Zip Code:74851-9374
Practice Address - Country:US
Practice Address - Phone:405-243-8001
Practice Address - Fax:888-203-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty