Provider Demographics
NPI:1366499865
Name:OASIS HEALTHCARE, INC.
Entity Type:Organization
Organization Name:OASIS HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-828-2210
Mailing Address - Street 1:3522 VANN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3218
Mailing Address - Country:US
Mailing Address - Phone:205-640-3303
Mailing Address - Fax:205-640-3331
Practice Address - Street 1:3522 VANN RD STE 104
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3218
Practice Address - Country:US
Practice Address - Phone:205-640-3303
Practice Address - Fax:205-640-3331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL011660Medicare Oscar/Certification