Healthcare Provider Details
I. General information
NPI: 1033111273
Provider Name (Legal Business Name): ALABAMA OXYGEN AND MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 PLAZA LN
OXFORD AL
36203-2463
US
IV. Provider business mailing address
PO BOX 7727
OXFORD AL
36203-7727
US
V. Phone/Fax
- Phone: 256-831-1010
- Fax: 256-831-1055
- Phone: 256-831-1010
- Fax: 256-831-1055
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 2965 |
| License Number State | AL |
VIII. Authorized Official
Name:
VICKI
ATWOOD
Title or Position: OWNER
Credential: PHD
Phone: 256-831-1010