Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Medical Supplies, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1114920816

Lake Country Medical Supplies, LLC is a Durable Medical Equipment & Medical Supplies in Atoka, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2005
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

744 S Mississippi Ave
Atoka, OK 74525-3355
Phone: (580) 889-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 702 S Mississippi Ave, Atoka, OK 74525-3324 — (580) 889-7878

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence 57-S-940 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (OK)
Dialysis Equipment & Supplies (DME) Taxonomy 332BD1200X
Nursing Facility Supplies (DME) Taxonomy 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X

Record details

NPI number1114920816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Clay — Owner · (580) 286-5022
Other names Complete Care Medical
NPI enumeratedMay 27, 2005
Last updated in NPPESJune 25, 2019
Mailing address744 S Mississippi Ave, Atoka, OK 74525-3355

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