PALMETTO OXYGEN LLC NPI 1922023738

NPI Information

  • NPI: 1922023738
  • Provider Name: PALMETTO OXYGEN, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 4790 OLD YORK RD
    ROCK HILL, SC
    ZIP 29732
  • Phone: (803) 228-7402

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NPI Details

PALMETTO OXYGEN, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Rock Hill, SC. PALMETTO OXYGEN, LLC NPI is 1922023738. The provider is registered as an organization entity type.

The provider's business location address is:

4790 OLD YORK RD
ROCK HILL, SC
ZIP 29732-126
Phone: (803) 228-7402
Fax: (839) 274-5811

The provider's authorized official is Wendy Russalesi .
The authorized official title is Chief Compliance Officer and has the following contact phone number (484) 246-9499.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 12/16/2024.

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 & Supplies65008058SOUTH CAROLINAYes

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
1DE1828MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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