Organization
T & S HOME OXYGEN SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY F STOTT (PRESIDENT)
(800) 371-2475
Entity
Organization
Contact information
Practice address
123 OXYGEN DR, DU BOIS, PA 15801-5790
(800) 371-2475
(814) 371-2169
Mailing address
123 OXYGEN DR, DU BOIS, PA 15801-5790
(800) 371-2475
(814) 371-2169
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000002513
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000283242
PA BLUE SHIELD
PA
01
—
044016500
FEDERAL BLACK LUNG
PA
05
—
1011593880001
—
PA
01
—
283242
HIGHMARK BLUE CROSS
PA
Enumeration date
12/20/2005
Last updated
05/03/2011
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