Provider Demographics
NPI:1033111273
Name:ALABAMA OXYGEN AND MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:ALABAMA OXYGEN AND MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:256-831-1010
Mailing Address - Street 1:PO BOX 7727
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-7727
Mailing Address - Country:US
Mailing Address - Phone:256-831-1010
Mailing Address - Fax:256-831-1055
Practice Address - Street 1:30 PLAZA LN
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-2463
Practice Address - Country:US
Practice Address - Phone:256-831-1010
Practice Address - Fax:256-831-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2965332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4803840001Medicare ID - Type Unspecified