Provider Demographics
NPI:1790771178
Name:RXO2 OXYGEN & MEDICAL EQUIPMENT SUPPLY CO., INC.
Entity Type:Organization
Organization Name:RXO2 OXYGEN & MEDICAL EQUIPMENT SUPPLY CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:520-751-1929
Mailing Address - Street 1:3570 S DODGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-5419
Mailing Address - Country:US
Mailing Address - Phone:520-751-1929
Mailing Address - Fax:520-207-2865
Practice Address - Street 1:3570 S DODGE BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5419
Practice Address - Country:US
Practice Address - Phone:520-751-1929
Practice Address - Fax:520-207-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20160917332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0316070002Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER