Provider Demographics
NPI:1194768820
Name:JOHN VANCE MOTORS
Entity type:Organization
Organization Name:JOHN VANCE MOTORS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MOBILITY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEWBY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:405-282-2113
Mailing Address - Street 1:5632 S. DIVISION STREET
Mailing Address - Street 2:P.O. BOX 400
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-0400
Mailing Address - Country:US
Mailing Address - Phone:405-282-2113
Mailing Address - Fax:405-282-4714
Practice Address - Street 1:5632 S. DIVISION STREET
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-0400
Practice Address - Country:US
Practice Address - Phone:405-282-2113
Practice Address - Fax:405-282-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies