ALPHA OXY-MED LLC; NPI #1386625457

Contact Information

ALPHA OXY-MED LLC

674 E WHITE MOUNTAIN BLVD
SUITE 3
PINETOP, AZ 85935

Phone: 928-367-7415
Fax: 928-367-7416
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for ALPHA OXY-MED LLC

NPI # 1386625457

LBN Legal business name ALPHA OXY-MED LLC

Authorized official RUSSELL CHURCH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2005

Last updated 11/23/2007 - About 19 years ago

Identifiers

AZ	License #	520
AZ	Medicaid	853483

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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ALPHA OXY-MED LLC

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for ALPHA OXY-MED LLC

Reviews for ALPHA OXY-MED LLC