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Contact Information

AFFORDABLE OXYGEN & MEDICAL SUPPLY. LLC
377 N MONTEZUMA ST
STE 111
PRESCOTT, AZ86301-3020
 Phone: 928-759-0597
 Fax: 928-759-0748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for AFFORDABLE OXYGEN & MEDICAL SUPPLY. LLC

NPI Number 1790823128
LBN Legal business name AFFORDABLE OXYGEN & MEDICAL SUPPLY. LLC
Authorized official KEN DAVIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2007
Last updated 02/15/2008 - About 18 years ago
Identifiers
AZ License # 1121070
AZ Other 911588 AZ MEDICAID NUMBER
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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