Provider Demographics
NPI:1982736302
Name:AGAPE MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:AGAPE MEDICAL EQUIPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:CAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-245-8000
Mailing Address - Street 1:8523 E 11TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-7963
Mailing Address - Country:US
Mailing Address - Phone:918-245-8000
Mailing Address - Fax:918-245-8001
Practice Address - Street 1:8523 E 11TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-7963
Practice Address - Country:US
Practice Address - Phone:918-245-8000
Practice Address - Fax:918-245-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5804700001Medicare NSC