Provider Demographics
NPI:1376600148
Name:OXYCARE INC
Entity Type:Organization
Organization Name:OXYCARE INC
Other - Org Name:OXYCARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:207-667-9100
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-0446
Mailing Address - Country:US
Mailing Address - Phone:207-667-9100
Mailing Address - Fax:
Practice Address - Street 1:209 HIGH ST
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1715
Practice Address - Country:US
Practice Address - Phone:207-667-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME=========OtherAETNA
ME=========OtherBLUE CROSS
ME=========OtherUNITED HEALTHCARE
ME=========OtherUNITED HEALTHCARE