Organization
SAULT OXYGEN, INC
Active
Other names
River Cities Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BBELLEAU (TREASURER)
(906) 253-1721
Entity
Organization
Contact information
Practice address
1122 E EASTERDAY AVE, SAULT SAINTE MARIE, MI 49783-2334
(906) 253-1721
(906) 253-1722
Mailing address
PO BOX 832, SAULT SAINTE MARIE, MI 49783-0832
(906) 253-1721
(906) 253-1722
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54O-A702630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/20/2005
Last updated
08/28/2007
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