Provider Demographics
NPI:1275523797
Name:THE OXYGEN COMPANY, INC
Entity Type:Organization
Organization Name:THE OXYGEN COMPANY, INC
Other - Org Name:HEALTH FIRST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HORACE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-673-8966
Mailing Address - Street 1:8143 STAPLES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2751
Mailing Address - Country:US
Mailing Address - Phone:804-266-2002
Mailing Address - Fax:804-266-1025
Practice Address - Street 1:8143 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2751
Practice Address - Country:US
Practice Address - Phone:804-266-2002
Practice Address - Fax:804-266-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206008411332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009133429Medicaid
VA063926OtherANTHEM PROVIDER NUMBER
VA82-00021OtherUNITED HEALTHCARE
VA247648OtherMAMSI PROVIDER NUMBER
VA63046OtherSOUTHERN HEALTH PROVIDER
VA10393OtherCARENET PROVIDER NUMBER
VA009133429Medicaid
VA0236130001Medicare NSC