Provider Demographics
NPI:1790819647
Name:OXYGEN PLUS INC
Entity Type:Organization
Organization Name:OXYGEN PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-478-6653
Mailing Address - Street 1:9350 US HWY 23 SOUTH
Mailing Address - Street 2:
Mailing Address - City:STANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41659
Mailing Address - Country:US
Mailing Address - Phone:606-478-6653
Mailing Address - Fax:606-478-6674
Practice Address - Street 1:11105 US HIGHWAY 23 S
Practice Address - Street 2:HAYNES COMPLES, SUITE 1
Practice Address - City:BETSY LAYNE
Practice Address - State:KY
Practice Address - Zip Code:41605-9998
Practice Address - Country:US
Practice Address - Phone:606-478-6653
Practice Address - Fax:606-478-6674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP07124OtherSTATE PHARMACY LICENSE
KY5440800003Medicare ID - Type Unspecified