Provider Demographics
NPI:1972682441
Name:B & B MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:B & B MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESPEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-235-9548
Mailing Address - Street 1:2236 NW 10TH ST
Mailing Address - Street 2:103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5668
Mailing Address - Country:US
Mailing Address - Phone:405-235-9548
Mailing Address - Fax:405-272-0889
Practice Address - Street 1:342 5TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1812
Practice Address - Country:US
Practice Address - Phone:304-525-1565
Practice Address - Fax:304-525-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWD0558128332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001848077OtherBC/BS
WV90011529Medicaid
WV=========007OtherTRICARE
WV001848077OtherBC/BS