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PALMETTO OXYGEN LLC NPI 1295770824


NPI Information

NPI: 1295770824
Provider Name: PALMETTO OXYGEN, LLC

Doing Business As: MEDBRIDGE HOME MEDICAL

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

Specialization: Oxygen Equipment & Supplies

Address:
409 BRIARWOOD DR
SUITE 305B
JACKSON, MS
ZIP 39206
Phone: (601) 957-9272
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PALMETTO OXYGEN, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Jackson, MS. PALMETTO OXYGEN, LLC NPI is 1295770824. The provider is registered as an organization entity type.
The provider Is Doing Business As Medbridge Home Medical.

The provider's business location address is:

409 BRIARWOOD DR
SUITE 305B
JACKSON, MS
ZIP 39206-033
Phone: (601) 957-9272
Fax: (601) 957-9545

The provider's authorized official is Matthew S. Mellott .
The authorized official title is Cfo and has the following contact phone number (864) 527-5970.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/22/2020.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies06960/11.1MISSISSIPPIYes

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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