Provider Demographics
NPI:1588684005
Name:MED-CARE OXYGEN AND EQUIPMENT INC
Entity Type:Organization
Organization Name:MED-CARE OXYGEN AND EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:REUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-750-9177
Mailing Address - Street 1:3103 W THOMPSON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9705
Mailing Address - Country:US
Mailing Address - Phone:810-750-9177
Mailing Address - Fax:810-629-3141
Practice Address - Street 1:3115 W THOMPSON RD
Practice Address - Street 2:SUITE A
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9659
Practice Address - Country:US
Practice Address - Phone:810-750-9119
Practice Address - Fax:810-629-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10982E332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI54-0-F3-3510-0OtherBCBS PIN NUMBER
MI4931695Medicaid
MI54-0-F3-3510-0OtherBCBS PIN NUMBER