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SERVICE MEDICAL OXYGEN NPI 1750377362


NPI Information

NPI: 1750377362
Provider Name: SERVICE MEDICAL OXYGEN
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
410 W HIGH ST
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 393-0202
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SERVICE MEDICAL OXYGEN is a durable medical equipment medical supplies in Mount Vernon, OH. 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. SERVICE MEDICAL OXYGEN NPI is 1750377362. The provider is registered as an organization entity type.

The provider's business location address is:

410 W HIGH ST
MOUNT VERNON, OH
ZIP 43050-325
Phone: (740) 393-0202
Fax: (740) 392-9700

The provider's authorized official is Kenny W Daughriety .
The authorized official title is Owner and has the following contact phone number (740) 393-0202.

The enumeration date for this NPI number is 9/20/2005 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
1332B00000XDurable Medical Equipment & Medical Supplies42017406OHIOYes

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
10570789MEDICAIDOHIO

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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