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Organization
PALMETTO OXYGEN, LLC
Active
Organization
PALMETTO OXYGEN, LLC
Active
Parent organization
MEDBRIDGE HOME MEDICAL LLC
Other names
MedBridge Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDBRIDGE HOME MEDICAL LLC
Authorized official
MR. MATTHEW S MELLOTT (PRESIDENT)
(864) 272-1840
Entity
Organization
Contact information
Practice address
6651 CHIPPEWA ST, SUITE 308, SAINT LOUIS, MO 63109-2538
(314) 371-8519
(877) 404-4713
Mailing address
430 WOODRUFF RD, SUITE 450, GREENVILLE, SC 29607-3495
(864) 272-1840
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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