# PALMETTO OXYGEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDBRIDGE HOME MEDICAL LLC
- **Other names:** MedBridge Home Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659736619
- **Legal business name:** MEDBRIDGE HOME MEDICAL LLC
- **Authorized official:** MR. MATTHEW S MELLOTT (PRESIDENT)
- **Authorized official phone:** (864) 272-1840

## Contact information

- **Practice address:** 6651 CHIPPEWA ST, SUITE 308, SAINT LOUIS, MO 63109-2538
- **Practice address phone:** (314) 371-8519
- **Practice address fax:** (877) 404-4713
- **Mailing address:** 430 WOODRUFF RD, SUITE 450, GREENVILLE, SC 29607-3495
- **Mailing address phone:** (864) 272-1840

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 12/17/2015