# SUMMIT OXYGEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659620938
- **Authorized official:** MR. MICHAEL LORENZ (OWNER)
- **Authorized official phone:** (406) 209-3190

## Contact information

- **Practice address:** 509 LANDMARK DR, BELGRADE, MT 59714-7200
- **Practice address phone:** (406) 209-3190
- **Practice address fax:** (406) 924-6427
- **Mailing address:** PO BOX 3123, BOZEMAN, MT 59772-3123
- **Mailing address phone:** (406) 209-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2012
- **Last updated:** 09/03/2012