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NPI Code Detail

MEDICARE: THE OXYGEN COMPANY, INC.

MEDICARE: THE OXYGEN COMPANY, 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
1332BX2000XOxygen Equipment & Supplies (DME)0206008411VA

General Provider Information

NPI Number : 1467686170
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE OXYGEN COMPANY, INC.
Provider Business Mailing Address
First Line : PO BOX 890304
Second Line :
City : CHARLOTTE
State : NC
Zip : 28289-0304
Country : US
Telephone Number : 804-673-6500
Fax Number : 804-673-6508
Provider Business Practice Location Address
First Line : 8143 STAPLES MILL RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2751
Country : US
Telephone Number : 804-262-2002
Fax Number : 804-673-6508
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MR. H WAYNE SALE
Credential :
Telephone Number : 804-673-6500
Provider Enumeration Date : 05/08/2009
Last Update Date : 05/11/2009

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