Organization
AIR EXCHANGE OXYGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY K KLOBUCAR (OWNER/PRESIDENT)
(406) 782-6708
Entity
Organization
Contact information
Practice address
35 SOUTH MAIN STREET, BUTTE, MT 59701
(406) 782-6708
(406) 782-1224
Mailing address
35 SOUTH MAIN STREET, BUTTE, MT 59701
(406) 782-6708
(406) 782-1224
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176475
—
MT
05
—
5605019
—
MT
Enumeration date
10/26/2006
Last updated
12/04/2008
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