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COMMUNITY OXYGEN SERVICE, LLC

Oxygen Equipment & Supplies

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Contact Information

COMMUNITY OXYGEN SERVICE, LLC
1501 KUEBEL ST STE C
HARAHAN, LA  70123-6961
 Phone: 504-894-9729
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

 332BX2000X B1 Oxygen supplier
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

 3336M0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY OXYGEN SERVICE, LLC

NPI Number 1891779211
LBN Legal business name COMMUNITY OXYGEN SERVICE, LLC
Authorized official PAUL KAVANAUGH - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2005
Last updated 01/05/2022 - About 4 years ago
Identifiers
LA License # 360010426
LA License # 5087IR
LA Medicaid 2535692
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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