Healthcare Provider Details

I. General information

NPI: 1982909743
Provider Name (Legal Business Name): OXYMED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 HIGHWAY 280 STE 101
BIRMINGHAM AL
35242
US

IV. Provider business mailing address

5025 HIGHWAY 280 STE 101
BIRMINGHAM AL
35242-5163
US

V. Phone/Fax

Practice location:
  • Phone: 205-981-2333
  • Fax:
Mailing address:
  • Phone: 205-981-2333
  • Fax: 205-981-2336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number900775
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1024
License Number StateAL

VIII. Authorized Official

Name: MR. JONATHAN S TEMPLE SR.
Title or Position: OWNER
Credential:
Phone: 205-981-2333