DIANE RAULERSONS HOME MEDICAL EQUIPMENT NPI 1295862332

NPI Information

NPI: 1295862332
Provider Name: DIANE RAULERSONS HOME MEDICAL EQUIPMENT

Doing Business As: A PLUS HOME OXYGEN & MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2019 ALICE ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-4663
Get Directions

DIANE RAULERSONS HOME MEDICAL EQUIPMENT is an oxygen equipment and supplies durable medical equipment medical supplies in Waycross, GA. DIANE RAULERSONS HOME MEDICAL EQUIPMENT NPI is 1295862332. The provider is registered as an organization entity type.
The provider Is Doing Business As A Plus Home Oxygen & Medical Equipment.

The provider's business location address is:

2019 ALICE ST
WAYCROSS, GA
ZIP 31501-209
Phone: (912) 283-4663
Fax: (912) 338-0208

The provider's authorized official is Diane P Raulerson .
The authorized official title is Owner and has the following contact phone number (912) 283-4663.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/22/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy		002687	GEORGIA	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	002687	GEORGIA	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	002687	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00855357A	MEDICAID	GEORGIA
2	1269470001	MEDICARE NSC	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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