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NPI Code Detail

MEDICARE: ROTECH OXYGEN AND MEDICAL EQUIPMENT INC

MEDICARE: ROTECH OXYGEN AND MEDICAL EQUIPMENT 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
1332BC3200XCustomized Equipment (DME)
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)
3332BX2000XOxygen Equipment & Supplies (DME)
4335E00000XProsthetic/Orthotic Supplier
5332B00000XDurable Medical Equipment & Medical Supplies

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 : 1720058506
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROTECH OXYGEN AND MEDICAL EQUIPMENT INC
Provider Business Mailing Address
First Line : PO BOX 27968
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0968
Country : US
Telephone Number : 570-966-8030
Fax Number : 570-966-8040
Provider Business Practice Location Address
First Line : 1179 GOOD HOPE PIKE
Second Line : SUITE 101
City : CLARKSBURG
State : WV
Zip : 26301-4579
Country : US
Telephone Number : 304-624-1750
Fax Number : 304-624-1751
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MRS. ROBIN L MENCHEN
Credential :
Telephone Number : 407-822-4600
Provider Enumeration Date : 01/25/2006
Last Update Date : 04/15/2024

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