Provider Demographics
NPI:1225909153
Name:VENTILATEOK LLC
Entity type:Organization
Organization Name:VENTILATEOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:WYLIE
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:405-604-6999
Mailing Address - Street 1:1505 W GORE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-3608
Mailing Address - Country:US
Mailing Address - Phone:405-604-6999
Mailing Address - Fax:405-604-8999
Practice Address - Street 1:1505 W GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-3608
Practice Address - Country:US
Practice Address - Phone:405-604-6999
Practice Address - Fax:405-604-8999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VENTILATEOK LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200810790AMedicaid