Healthcare Provider Details

I. General information

NPI: 1295745297
Provider Name (Legal Business Name): FAMILY OXYGEN AND MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 W UNION ST
ATHENS OH
45701-2381
US

IV. Provider business mailing address

70 PINE ST
GALLIPOLIS OH
45631-1532
US

V. Phone/Fax

Practice location:
  • Phone: 740-594-7000
  • Fax: 740-594-7003
Mailing address:
  • Phone: 740-446-0007
  • Fax: 740-446-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHMEL 11060
License Number StateOH

VIII. Authorized Official

Name: CONNIE E BOWMAN
Title or Position: BILLING MANAGER
Credential:
Phone: 740-446-0007