Provider Demographics
NPI:1306849534
Name:JOINT TECHNOLOGY INC
Entity type:Organization
Organization Name:JOINT TECHNOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-673-2613
Mailing Address - Street 1:919 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5743
Mailing Address - Country:US
Mailing Address - Phone:405-348-6457
Mailing Address - Fax:405-348-6871
Practice Address - Street 1:700 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4300
Practice Address - Country:US
Practice Address - Phone:405-348-6457
Practice Address - Fax:405-348-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ927014Medicaid
IA0574202Medicaid
MO626124101Medicaid
OK100811640AMedicaid
AR1435997Medicaid
LA1478857Medicaid
NM43585060Medicaid
TX144928201Medicaid
AL009990865Medicaid
NE10025124400Medicaid
OK100811640AMedicaid
LA1478857Medicaid
NE10025124400Medicaid
IL=========001Medicaid