Provider Demographics
NPI:1740211341
Name:ANMED HEALTH HOME OXYGEN
Entity Type:Organization
Organization Name:ANMED HEALTH HOME OXYGEN
Other - Org Name:ANMED HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-512-1000
Mailing Address - Street 1:PO BOX 195
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622-0195
Mailing Address - Country:US
Mailing Address - Phone:864-512-6410
Mailing Address - Fax:864-512-6404
Practice Address - Street 1:402 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621
Practice Address - Country:US
Practice Address - Phone:864-231-2760
Practice Address - Fax:864-231-2768
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANMED HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000389584AMedicaid
SC558792Medicaid
SC=========004OtherBLUE CROSS OF SC