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MOUNTAIN AIR OXYGEN SERVICE INC. NPI 1164429650


NPI Information

NPI: 1164429650
Provider Name: MOUNTAIN AIR OXYGEN SERVICE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2415 MULLINS AVE.
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-2573
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MOUNTAIN AIR OXYGEN SERVICE, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Alamosa, CO. MOUNTAIN AIR OXYGEN SERVICE, INC. NPI is 1164429650. The provider is registered as an organization entity type.

The provider's business location address is:

2415 MULLINS AVE.
ALAMOSA, CO
ZIP 81101-264
Phone: (719) 589-2573
Fax: (719) 589-8891

The provider's authorized official is Susanne L Kanen .
The authorized official title is Owner/president and has the following contact phone number (719) 589-4112.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 12/2/2011.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies07150460001COLORADONo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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
10736200001MEDICARE PINCOLORADO
208000648MEDICAIDCOLORADO

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

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