Provider Demographics
NPI:1083620702
Name:HOPE OXYGEN COMPANY, INC
Entity Type:Organization
Organization Name:HOPE OXYGEN COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGOVERN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:216-252-4553
Mailing Address - Street 1:14117 LORAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-3236
Mailing Address - Country:US
Mailing Address - Phone:216-252-4553
Mailing Address - Fax:216-252-4561
Practice Address - Street 1:14117 LORAIN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3236
Practice Address - Country:US
Practice Address - Phone:216-252-4553
Practice Address - Fax:216-252-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0317231Medicaid
OH0316750Medicaid
OH0316750Medicaid
OH0317231Medicaid