MEDICARE: ALABAMA OXYGEN AND MEDICAL EQUIPMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	900489	AL

General Provider Information

NPI Number	:	1447252705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA OXYGEN AND MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	950 US HIGHWAY 431
Second Line	:
City	:	ROANOKE
State	:	AL
Zip	:	36274-7313
Country	:	US
Telephone Number	:	334-863-5540
Fax Number	:	334-863-5538

Provider Business Practice Location Address
First Line	:	950 US HIGHWAY 431
Second Line	:
City	:	ROANOKE
State	:	AL
Zip	:	36274-7313
Country	:	US
Telephone Number	:	334-863-5540
Fax Number	:	334-863-5538

Authorized Official
Title or Position	:	OWNER
Name	:	VICKI ATWOOD
Credential	:	PHD
Telephone Number	:	334-863-5540

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/22/2020

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