Provider Demographics
NPI:1073513891
Name:SEELEY MEDICAL OXYGEN CO OF ANDOVER
Entity Type:Organization
Organization Name:SEELEY MEDICAL OXYGEN CO OF ANDOVER
Other - Org Name:SEELEY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-293-6600
Mailing Address - Street 1:104 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-9481
Mailing Address - Country:US
Mailing Address - Phone:440-293-6600
Mailing Address - Fax:440-293-7394
Practice Address - Street 1:7515 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1959
Practice Address - Country:US
Practice Address - Phone:440-324-1275
Practice Address - Fax:866-416-3121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEELEY ENTERPRISE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-22
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0498080004Medicare ID - Type Unspecified