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Contact Information

BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES
950 BAKER HWY UNIT 2
HUNTSVILLE, TN37756-4169
 Phone: 423-663-4663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES

NPI Number 1346630993
LBN Legal business name BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES
Authorized official PAULA ALLRED - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2015
Last updated 02/03/2015 - About 11 years ago
Identifiers
TN License # 508
TN Medicaid 152469
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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