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LAKE COUNTRY MEDICAL SUPPLIES OF OKMULGEE, LLC
NPI 1376546960
Durable Medical Equipment & Medical Supplies in Okmulgee, OK

Active since May 27, 2005
1180 S BELMONT AVE, OKMULGEE, OK 74447(918) 756-9279(918) 756-2656 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Country Medical Supplies Of Okmulgee, Llc NPPES

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

LAKE COUNTRY MEDICAL SUPPLIES OF OKMULGEE, LLC (NPI 1376546960) is a healthcare organization registered as a durable medical equipment & medical supplies in Okmulgee, Oklahoma and active in the NPI registry since May 2005. The organization lists Ryan Ritter, Owner President, as its authorized official.

NPPES Registry Identity

NPI1376546960
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKE COUNTRY MEDICAL SUPPLIES OF OKMULGEE, LLC
Location Address1180 S BELMONT AVEOkmulgee, OK 74447-6308
Mailing Address702 S Mississippi AveAtoka, OK 74525-3324 · (580) 889-7878 · Fax (580) 889-8713
Phone(918) 756-9279
Fax(918) 756-2656
Organization SubpartNo
Authorized OfficialRyan RitterOwner President · (580) 889-7800
Enumeration DateMay 27, 2005
Last NPPES UpdateMay 26, 2011
✔ NPI 1376546960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 · Dialysis Equipment & SuppliesTaxonomy 332BD1200X
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 14-S-795 (OK)
1180 S BELMONT AVE, Okmulgee, OK 74447
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Other Identifiers 3

Medicaid100812630AOK
Other=========001OK · Blue Cross Blue Shield
Medicare ID-Type Unspecified1278730001OK · Region C Medicare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUSCOGEE (CREEK) NATION DME, LLC
Durable Medical Equipment & Medical Supplies
1180 S BELMONT AVE
OKMULGEE, OK 74447
Okmulgee County (918) 756-9279

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 Lake Country Medical Supplies Of Okmulgee, LLC's NPI number?

The NPI number for Lake Country Medical Supplies Of Okmulgee, LLC is 1376546960. It was assigned to this organization in the NPPES registry on May 27, 2005.

Where is Lake Country Medical Supplies Of Okmulgee, LLC located?

Lake Country Medical Supplies Of Okmulgee, LLC is located at 1180 S Belmont Ave, Okmulgee, OK 74447. The listed phone number is (918) 756-9279.

What is Lake Country Medical Supplies Of Okmulgee, 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 Lake Country Medical Supplies Of Okmulgee, LLC was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.