Healthcare Provider Details

I. General information

NPI: 1093986432
Provider Name (Legal Business Name): OXYMED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 GOODALE BLVD
COLUMBUS OH
43212-3831
US

IV. Provider business mailing address

1060 GOODALE BLVD
COLUMBUS OH
43212-3831
US

V. Phone/Fax

Practice location:
  • Phone: 877-820-9391
  • Fax:
Mailing address:
  • Phone: 877-820-9391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberRSOX.021772900
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberRSOX.021772900
License Number StateOH

VIII. Authorized Official

Name: MR. RIC WREN
Title or Position: PRESIDENT
Credential:
Phone: 877-820-9391