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Lake Country Medical Supplies, LLC

Oxygen Equipment & Supplies (DME) in Atoka, OK · enumerated 2005 · authorized official Victor Clay, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114920816

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Country Medical Supplies, LLC
Other name <Unavail>
Practice address 744 S Mississippi Ave, Atoka, OK, 74525
Phone (580) 889-7878
Enumeration date May 27, 2005
Last updated in NPPES Jun 25, 2019

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BD1200X Dialysis Equipment & Supplies (DME) Suppliers Secondary
332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 57-S-940 (OK) Primary

Authorized official

Name Victor Clay
Title Owner
Phone (580) 286-5022

Other identifiers

Identifier Type State Issuer
100813530A Medicaid OK -
742803495001 Other OK BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Country Medical Supplies, LLC?
The NPI for Lake Country Medical Supplies, LLC is 1114920816, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Country Medical Supplies, LLC?
NPPES lists Victor Clay (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-25.