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Organization

BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES

Active
Other names
Buckeye Home Health Center, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAULA J ALLRED DR.PH (VICE PRESIDENT)
(931) 879-9926
Entity
Organization

Contact information

Practice address
950 BAKER HWY UNIT 2, HUNTSVILLE, TN 37756-4169
(423) 663-4663
Mailing address
PO BOX 1197, JAMESTOWN, TN 38556-1197
(941) 879-9926

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
508
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152469
TN
Enumeration date
02/03/2015
Last updated
02/03/2015
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