Provider Demographics
NPI:1316958242
Name:CONSOLIDATED OILFIELD RENTALS, INC
Entity type:Organization
Organization Name:CONSOLIDATED OILFIELD RENTALS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARTHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-323-5666
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-0653
Mailing Address - Country:US
Mailing Address - Phone:580-323-5666
Mailing Address - Fax:580-323-6084
Practice Address - Street 1:316 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-5246
Practice Address - Country:US
Practice Address - Phone:580-772-0063
Practice Address - Fax:580-772-8486
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSOLIDATED OILFIELD RENTALS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BP3500X, 335E00000X
OK28-S-1035332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100807280DMedicaid
OK=========004OtherBLUE CROSS/BLUE SHIELD
OK=========004OtherBLUE CROSS/BLUE SHIELD