JIREH MEDICAL, LLC
NPI 1336369404
Durable Medical Equipment & Medical Supplies in Mounds, OK

Q: What is Jireh Medical, LLC's NPI number?

The NPI number for Jireh Medical, LLC is 1336369404. It was assigned to this organization in the NPPES registry on April 30, 2007.

Q: What is Jireh Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 30, 2007

1312 COMMERCIAL AVE, MOUNDS, OK 74047(918) 827-7600(918) 827-7667 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jireh Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIREH MEDICAL, LLC (NPI 1336369404) is a healthcare organization registered as a durable medical equipment & medical supplies in Mounds, Oklahoma and active in the NPI registry since April 2007. The organization lists Kyle Dean Rackley, President, as its authorized official.

NPPES Registry Identity

NPI1336369404

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameJIREH MEDICAL, LLC

Location Address1312 COMMERCIAL AVEMounds, OK 74047-0000

Mailing AddressPo Box 308Mounds, OK 74047-0308 · (918) 827-7600 · Fax (918) 827-7667

Phone(918) 827-7600

Fax(918) 827-7667

Organization SubpartNo

Authorized OfficialKyle Dean RackleyPresident · (918) 827-7600

Enumeration DateApril 30, 2007

Last NPPES UpdateJune 18, 2013

✔ NPI 1336369404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A 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.

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 11-6330 (OK)

Also ListedPharmacyTaxonomy 333600000X · License 11-6330 (OK)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 11-6330 (OK)

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 11-6330 (OK)

1312 COMMERCIAL AVE, Mounds, OK 74047

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jireh Medical, LLC's NPI number?

The NPI number for Jireh Medical, LLC is 1336369404. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Jireh Medical, LLC located?

Jireh Medical, LLC is located at 1312 Commercial Ave, Mounds, OK 74047. The listed phone number is (918) 827-7600.

What is Jireh Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jireh Medical, LLC was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.