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Contact Information

AIRWAY OXYGEN INC
1396 TRADE CENTRE DR
UNIT B
TRAVERSE CITY, MI49696
 Phone: 231-932-0399
 Fax: 231-932-0453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AIRWAY OXYGEN INC

NPI Number 1417033853
LBN Legal business name AIRWAY OXYGEN INC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/27/2006
Last updated 04/15/2026 - About 2 months ago
Identifiers
MI Medicaid 5019426
MI Other 540D10642 BLUE CROSS/BLUE SHIELD
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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