1447243019 NPI number — OXYGEN PLUS CORP

Table of content: (NPI 1447243019)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447243019 NPI number — OXYGEN PLUS CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OXYGEN PLUS CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OXYGEN PLUS CORP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447243019
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 MCARTHUR ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37355-2326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-728-0028
Provider Business Mailing Address Fax Number:
931-728-0089

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 MCARTHUR ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37355-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-728-0028
Provider Business Practice Location Address Fax Number:
931-728-0089
Provider Enumeration Date:
08/29/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WHITE
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
931-728-0028

Provider Taxonomy Codes

  • Taxonomy code: 332BP3500X , with the licence number:  001961 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 001961 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336S0011X , with the licence number: 0000003868 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 15495 . This is a "CARECENTRIX" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0555 . This is a "BOARD OF PHARMACY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1454268 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 82113751714 . This is a "PHARMACY CLASS E" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: DME18077 . This is a "DURABLE MEDICAL EQUIPMENT" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 4439089 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01961 . This is a "BOARD OF PHARMACY" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 4057101 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00743 . This is a "HEALTH CARE FACILITIES" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 10133 . This is a "BOARD OF PHARMACY" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 10543/11.1 . This is a "MEDICAL EQUIPMENT SUPPLIER" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".
  • Identifier: 57406 . This is a "HOME MEDICAL DEVICE RETAIL REGISTRATION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MP00945 . This is a "BOARD OF PHARMACY MEDICAL DEVICES, EQUIPMENT, GAS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".