MEDICARE: SEELEY MEDICAL OXYGEN CO

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)		OH

Other Identifiers

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

General Provider Information

NPI Number	:	1376627224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEELEY MEDICAL OXYGEN CO

Provider Business Mailing Address
First Line	:	104 PARKER DR
Second Line	:
City	:	ANDOVER
State	:	OH
Zip	:	44003-9481
Country	:	US
Telephone Number	:	440-293-6600
Fax Number	:	440-293-7394

Provider Business Practice Location Address
First Line	:	900 E 222ND ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123-3312
Country	:	US
Telephone Number	:	877-733-5399
Fax Number	:	866-416-3124

Authorized Official
Title or Position	:	FINANCIAL OPERATIONS MANAGER
Name	:	MRS. MIRANDA ROUGEOU
Credential	:
Telephone Number	:	440-293-6600

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/25/2025

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Directions to “SEELEY MEDICAL OXYGEN CO ” Practice Location

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