Provider Demographics
NPI:1164089736
Name:OXIMED INC
Entity Type:Organization
Organization Name:OXIMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VASQUEZ-OCANAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-579-3394
Mailing Address - Street 1:1940 W BASELINE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-9066
Mailing Address - Country:US
Mailing Address - Phone:480-542-5280
Mailing Address - Fax:480-542-5285
Practice Address - Street 1:1940 W BASELINE RD STE 4
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-9066
Practice Address - Country:US
Practice Address - Phone:866-696-9558
Practice Address - Fax:888-848-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies