Provider Demographics
NPI:1902809155
Name:RANDLE RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:RANDLE RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CLARKE
Authorized Official - Last Name:RANDLE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,RCP
Authorized Official - Phone:405-624-6363
Mailing Address - Street 1:812 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4225
Mailing Address - Country:US
Mailing Address - Phone:405-624-6363
Mailing Address - Fax:405-624-6677
Practice Address - Street 1:812 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4225
Practice Address - Country:US
Practice Address - Phone:405-624-6363
Practice Address - Fax:405-624-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1273420001Medicare NSC