Provider Demographics
NPI:1861402794
Name:CONSOLIDATED OILFIELD RENTALS, INC.
Entity type:Organization
Organization Name:CONSOLIDATED OILFIELD RENTALS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARTHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-323-5666
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-0653
Mailing Address - Country:US
Mailing Address - Phone:580-323-5666
Mailing Address - Fax:580-323-6084
Practice Address - Street 1:1289 N AIR DEPOT BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3333
Practice Address - Country:US
Practice Address - Phone:405-741-5666
Practice Address - Fax:405-741-1053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSOLIDATED OILFIELD RENTALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
335E00000X, 332BP3500X
OK1-S-1004332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100807280FMedicaid
OK100807280FMedicaid
OK1156230003Medicare NSC