LAWRENCE VASQUEZ MERCY MEDICAL CARE NPI 1003007519

Durable Medical Equipment & Medical Supplies in Edmond, OK

About LAWRENCE VASQUEZ MERCY MEDICAL CARE

Lawrence Vasquez Mercy Medical Care is a provider in Edmond, OK. The NPI number assigned to this provider is 1003007519. The practitioner's primary taxonomy code is Durable Medical Equipment & Medical Supplies (332B00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003007519 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameLAWRENCE VASQUEZ MERCY MEDICAL CARE
Provider Location Address1 S BROADWAY SUITE 305 EDMOND, OK 73034 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1 S BROADWAY SUITE 305 EDMOND, OK 73034 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-08-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-13-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LAWRENCE VASQUEZ MERCY MEDICAL CARE
1 S BROADWAY
SUITE 305
EDMOND, OK
ZIP 73034
Phone: (405) 513-8727
Fax: (405) 513-8728
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Mailing Address

LAWRENCE VASQUEZ MERCY MEDICAL CARE
1 S BROADWAY
SUITE 305
EDMOND, OK
ZIP 73034
Phone: (405) 513-8727
Fax: (405) 513-8728

Primary Taxonomy

Taxonomy Code332B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

Authorized Official Name LAWRENCE VASQUEZ Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT/OWNER
Authorized Official Phone(405) 514-4366

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5969840001MEDICARE NSC (07)OK

Map Location


LAWRENCE VASQUEZ MERCY MEDICAL CARE address is 1 S BROADWAY SUITE 305 EDMOND, OK 73034