Provider Demographics
NPI:1124228952
Name:QUALITY HOME OXYGEN, INC.
Entity Type:Organization
Organization Name:QUALITY HOME OXYGEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-684-9376
Mailing Address - Street 1:120 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-4141
Mailing Address - Country:US
Mailing Address - Phone:601-684-9386
Mailing Address - Fax:601-684-1055
Practice Address - Street 1:825 WILSON DR
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4514
Practice Address - Country:US
Practice Address - Phone:601-957-3162
Practice Address - Fax:601-957-2370
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY HOME OXYGEN, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0597390004Medicare NSC