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LIBERTY OXYGEN AND HOME CARE INC NPI 1033400858


NPI Information

NPI: 1033400858
Provider Name: LIBERTY OXYGEN AND HOME CARE, INC

Doing Business As: LIBERTY OXYGEN AND MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
17 EXCHANGE ST W # 130
SAINT PAUL, MN
ZIP 55102
Phone: (651) 789-1767
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LIBERTY OXYGEN AND HOME CARE, INC is a durable medical equipment medical supplies in Saint Paul, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LIBERTY OXYGEN AND HOME CARE, INC NPI is 1033400858. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Oxygen And Medical Equipment.

The provider's business location address is:

17 EXCHANGE ST W # 130
SAINT PAUL, MN
ZIP 55102-045
Phone: (651) 789-1767
Fax: (651) 789-1768

The provider's authorized official is Francis Sheehy .
The authorized official title is President/owner and has the following contact phone number (952) 920-0460.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 11/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5677949MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1183427400MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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