Healthcare Provider Details

I. General information

NPI: 1285056556
Provider Name (Legal Business Name): AUXI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2014
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 PALMER AVE
LOGAN WV
25601-3044
US

IV. Provider business mailing address

PO BOX 200
CHAPMANVILLE WV
25508-0200
US

V. Phone/Fax

Practice location:
  • Phone: 304-688-9914
  • Fax: 304-688-9915
Mailing address:
  • Phone: 304-688-9914
  • Fax: 304-688-9915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES H COOKE
Title or Position: MEMBER
Credential:
Phone: 304-688-9914