FacilityDetail

Last Updated:  12/25/2024 5:21:59 AM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   SELECT MEDICAL, LLC 
License Number  8-S-1215 
Facility Type Medical Gas Supplier 
Address

1046 E MAIN

City, State, Zip CUSHING,OK 74023 
Country   
Issue Date  10/05/2006 
Renewed Date 09/14/2017
Expiration Date  10/31/2018 
Renewal Month
End Date  12/01/2018 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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