Provider Demographics
NPI:1487834222
Name:TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-771-1898
Mailing Address - Street 1:3326 ASPEN GROVE DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2837
Mailing Address - Country:US
Mailing Address - Phone:615-771-1898
Mailing Address - Fax:615-771-2928
Practice Address - Street 1:5959 SHALLOWFORD RD
Practice Address - Street 2:SUITE 513
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2285
Practice Address - Country:US
Practice Address - Phone:423-892-2898
Practice Address - Fax:423-892-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1067730012Medicare NSC