Organization
MICHAEL C CAMPBELL
Active
Other names
Reliable Oxygen LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHARLES CAMPBELL CRT (OWNER)
(601) 587-0422
Entity
Organization
Contact information
Practice address
865 EAST BROAD ST, MONTICELLO, MS 39654
(601) 587-0422
(601) 587-0423
Mailing address
PO BOX 1493, MONTICELLO, MS 39654
(601) 587-0422
(601) 587-0423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
039031216
MS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06711 11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04854364
—
MS
Enumeration date
08/11/2006
Last updated
06/19/2008
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