Provider Demographics
NPI:1225051220
Name:RELIABLE OXYGEN CO INC
Entity Type:Organization
Organization Name:RELIABLE OXYGEN CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BAMFORD
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:978-346-8306
Mailing Address - Street 1:562 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2165
Mailing Address - Country:US
Mailing Address - Phone:508-823-5105
Mailing Address - Fax:508-823-5231
Practice Address - Street 1:562 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2165
Practice Address - Country:US
Practice Address - Phone:508-823-5105
Practice Address - Fax:508-823-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RE172254OtherBC
MA1523058Medicaid
MA1523058Medicaid