Organization
OXYCARE PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LOGAN (DIRECTOR OF OPERATIONS)
(662) 329-9095
Entity
Organization
Contact information
Practice address
404 WILKINS WISE RD, SUITE 3, COLUMBUS, MS 39705-1711
(662) 329-9095
(662) 329-8699
Mailing address
404 WILKINS WISE RD, SUITE 3, COLUMBUS, MS 39705-1711
(662) 329-9095
(662) 329-8699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440836
—
MS
05
—
009985220
—
AL
01
—
04965/11.1
BOARD OF PHARMACY
MS
01
—
622
AL BOARD OF HME SUPPLIERS
AL
01
—
900407
BOARD OF PHARMACY
AL
Enumeration date
02/08/2006
Last updated
10/27/2020
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