SOUTHEASTERN HOME OXYGEN SERVICE, INC.; NPI #1710342308

Contact Information

SOUTHEASTERN HOME OXYGEN SERVICE, INC.

2310 CRAWFORD RD STE 106
PHENIX CITY, AL 36867-3612

Phone: 334-384-9244
Fax: 334-384-9246
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 SOUTHEASTERN HOME OXYGEN SERVICE, INC.

NPI # 1710342308

LBN Legal business name SOUTHEASTERN HOME OXYGEN SERVICE, INC.

Authorized official JEREMY KILLOUGH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/23/2015

Last updated 12/23/2015 - About 10 years ago

Identifiers

License #

467

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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