Provider Demographics
NPI:1245936681
Name:OXYCARE PLUS, INC
Entity type:Organization
Organization Name:OXYCARE PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-329-9095
Mailing Address - Street 1:404 WILKINS WISE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1711
Mailing Address - Country:US
Mailing Address - Phone:662-329-9095
Mailing Address - Fax:662-329-8699
Practice Address - Street 1:2411 S LAMAR BLVD STE A
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5432
Practice Address - Country:US
Practice Address - Phone:662-550-4142
Practice Address - Fax:662-550-4141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OXYCARE PLUS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies