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MICHAEL C CAMPBELL NPI 1366453490


NPI Information

NPI: 1366453490
Provider Name: MICHAEL C CAMPBELL

Other Name: RELIABLE OXYGEN LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
865 EAST BROAD ST
MONTICELLO, MS
ZIP 39654
Phone: (601) 587-0422
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MICHAEL C CAMPBELL is a durable medical equipment medical supplies in Monticello, MS. 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. MICHAEL C CAMPBELL NPI is 1366453490. The provider is registered as an organization entity type.
The provider Other Name Is Reliable Oxygen Llc.

The provider's business location address is:

865 EAST BROAD ST
MONTICELLO, MS
ZIP 39654
Phone: (601) 587-0422
Fax: (601) 587-0423

The provider's authorized official is Michael Charles Campbell .
The authorized official title is Owner and has the following contact phone number (601) 587-0422.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/19/2008.


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 Supplies039031216MISSISSIPPINo
2332B00000XDurable Medical Equipment & Medical Supplies06711 11.1MISSISSIPPIYes

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
104854364MEDICAIDMISSISSIPPI
25482430001MEDICARE NSC
3=========OTHERBCBS

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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