1346273349 NPI number — AMERICAN OXYGEN AND MEDICAL EQUIPMENT, INC

Table of content: (NPI 1346273349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346273349 NPI number — AMERICAN OXYGEN AND MEDICAL EQUIPMENT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN OXYGEN AND MEDICAL EQUIPMENT, INC
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:
Provider Other Organization Name Type Code:
6
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:
1346273349
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26777 CENTRAL PARK BLVD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SOUTHFIELD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48076-4162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-352-7530
Provider Business Mailing Address Fax Number:
248-352-5189

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
381 KAIRNS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWN POINT
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46307-9160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-663-0210
Provider Business Practice Location Address Fax Number:
219-662-0414
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SPARLING
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
VP ADMINISTRATIVE SERVICES
Authorized Official Telephone Number:
248-352-7530

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0121967549001 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 200528840A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com