Lake Country Medical Supplies, Llc
Oxygen Equipment & Supplies
744 S Mississippi Ave, Atoka
Oklahoma, 74525-3355
580-889-7878 Lake Country Medical Supplies, Llc is a Oxygen Equipment & Supplies in Atoka, Oklahoma. It is located at 744 S Mississippi Ave, Atoka and it's customer support contact number is 580-889-7878. The authorized person of Lake Country Medical Supplies, Llc is Victor Clay who is Owner of this DME and his contact number is 580-286-5022. Active license number of Lake Country Medical Supplies, Llc is 57-S-940 for Oxygen Equipment & Supplies in Oklahoma.
Lake Country Medical Supplies, Llc is a medical supplier who supplies 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.
DME Supplier Details:
Lake Country Medical Supplies, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lake Country Medical Supplies, Llc |
| Type: | Oxygen Equipment & Supplies |
| Location: | 744 S Mississippi Ave, Atoka,
Oklahoma, 74525-3355 |
| Phone: | 580-889-7878 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Victor Clay |
| Position: | Owner |
| Contact Number: | 580-286-5022 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1114920816 |
| NPI Enumeration Date: | 27 May, 2005 |
| NPI Last Update On: | 25 Jun, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Country Medical Supplies, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | 57-S-940 | Oklahoma | Primary | |
| Durable Medical Equipment & Medical Supplies | | Oklahoma | Secondary | |
| Dialysis Equipment & Supplies | | | Secondary | |
| Nursing Facility Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100813530A | Medicaid | Oklahoma | |
| 742803495001 | Other | Oklahoma | Blue Cross Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 744 S Mississippi Ave,
Atoka, Oklahoma |
| Zip: | 74525-3355 |
| Phone Number: | 580-889-7878 |
| Fax Number: | 580-889-8713 |
Patients can reach Lake Country Medical Supplies, Llc at
744 S Mississippi Ave, Atoka, Oklahoma or can
call on customer care at 580-889-7878.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.