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SOUTH MOORE MEDICAL CLINIC
NPI 1912094244
Durable Medical Equipment & Medical Supplies in Moore, OK

Active since October 06, 2006
14800 S WESTERN AVE, MOORE, OK 73170(405) 912-4900(405) 912-4903 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Moore Medical Clinic NPPES

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

SOUTH MOORE MEDICAL CLINIC (NPI 1912094244) is a healthcare organization registered as a durable medical equipment & medical supplies in Moore, Oklahoma and active in the NPI registry since October 2006. The organization lists Keith R Layne, Owner, as its authorized official.

NPPES Registry Identity

NPI1912094244
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTH MOORE MEDICAL CLINIC, PC
Location Address14800 S WESTERN AVEMoore, OK 73170-7112
Mailing Address14800 S Western AveOklahoma City, OK 73170-7112 · (405) 912-4900 · Fax (405) 912-4903
Phone(405) 912-4900
Fax(405) 912-4903
Organization SubpartNo
Authorized OfficialKeith R LayneOwner · (405) 912-4900
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 18, 2011
✔ NPI 1912094244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14800 S WESTERN AVE, Moore, OK 73170
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Other Names 1

Doing Business AsSouth Moore Medical Clinic

Other Identifiers 1

Other560202001OK · Dme Number

Other Providers at the Same Location NPPES 2

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

DR. KEITH R LAYNE D.O.
Family Medicine
14800 S WESTERN AVE
MOORE, OK 73170
Cleveland County (405) 515-0330
SOUTH MOORE MEDICAL CLINIC,PC
Family Medicine
14800 S WESTERN AVE
MOORE, OK 73170
Cleveland County (405) 912-4900

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 South Moore Medical Clinic, PC's NPI number?

The NPI number for South Moore Medical Clinic, PC is 1912094244. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as South Moore Medical Clinic.

Where is South Moore Medical Clinic, PC located?

South Moore Medical Clinic, PC is located at 14800 S Western Ave, Moore, OK 73170. The listed phone number is (405) 912-4900.

What is South Moore Medical Clinic, PC'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 South Moore Medical Clinic, PC was last updated on March 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.