Healthcare Provider Details

I. General information

NPI: 1689892184
Provider Name (Legal Business Name): VMS HOME OXYGEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 OWEN DR
FAYETTEVILLE NC
28304-3421
US

IV. Provider business mailing address

107 DUBOIS CIR
DUNN NC
28334-3538
US

V. Phone/Fax

Practice location:
  • Phone: 910-483-9286
  • Fax: 910-892-1767
Mailing address:
  • Phone: 910-892-9286
  • Fax: 910-892-1767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number01286
License Number StateNC

VIII. Authorized Official

Name: MR. LEWIS BELL
Title or Position: CHEIF OPERATING OFFICER
Credential: RT
Phone: 910-892-9286