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Organization

SPECIALTY OXYGEN SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY DENEISE STANDEFER RN, BS (PRESIDENT)
(423) 802-5143
Entity
Organization

Contact information

Practice address
130 PERIMETER PARK ROAD, SUITE H & I, KNOXVILLE, TN 37922-2103
(865) 531-0281
(865) 531-0283
Mailing address
P.O. BOX 1480, SODDY DAISY, TN 37379
(865) 531-0281
(865) 531-0283

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000855
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454932
TN
01
4104806
DME # FOR BC/BS
TN
Enumeration date
06/08/2006
Last updated
10/26/2012
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