Organization
JAMES A BLANCO
Active
Other names
ELEMENT 8 OXYGEN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ANTHONY BLANCO (OWNER)
(308) 630-0888
Entity
Organization
Contact information
Practice address
14 W 27TH ST, SUITE 26, SCOTTSBLUFF, NE 69361-4302
(308) 630-0888
Mailing address
14 W 27TH ST, SUITE 26, SCOTTSBLUFF, NE 69361-4302
(308) 630-0888
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
123
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025015300
—
NE
Enumeration date
12/06/2006
Last updated
07/18/2008
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