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NPI Code Detail

MEDICARE: OXYMED INC

MEDICARE: OXYMED INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesHMER.22297OH
2332B00000XDurable Medical Equipment & Medical Supplies69000147AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356369052
Entity Type Code : Organization
Provider Name (Legal Business Name) : OXYMED INC
Provider Business Mailing Address
First Line : 5742 INDUSTRIAL RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5128
Country : US
Telephone Number : 260-969-7517
Fax Number : 260-969-2766
Provider Business Practice Location Address
First Line : 5742 INDUSTRIAL RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5128
Country : US
Telephone Number : 260-969-7517
Fax Number : 260-969-2766
Authorized Official
Title or Position : PRESIDENT
Name : MR. RIC WREN
Credential :
Telephone Number : 877-820-9391
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/25/2011

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Directions to “OXYMED INC ” Practice Location

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