Provider Demographics
NPI:1265432082
Name:SEELEY MEDICAL OXYGEN CO OF ANDOVER
Entity type:Organization
Organization Name:SEELEY MEDICAL OXYGEN CO OF ANDOVER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-293-6600
Mailing Address - Street 1:104 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-9481
Mailing Address - Country:US
Mailing Address - Phone:440-293-6600
Mailing Address - Fax:440-293-7394
Practice Address - Street 1:1135 W WESTERN RESERVE RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3592
Practice Address - Country:US
Practice Address - Phone:330-629-7345
Practice Address - Fax:877-733-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2173008Medicaid
OH2173008Medicaid