Organization
OXYGEN AND RESPIRATORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE JEAN SPROUSE RRT (PRESIDENT)
(615) 868-7118
Entity
Organization
Contact information
Practice address
7 COOK ST STE B, SPARTA, TN 38583-1590
(931) 836-3257
(931) 836-3258
Mailing address
PO BOX 980, MADISON, TN 37116-0980
(615) 868-7118
(615) 868-2074
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000469
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020478
BLUE CROSS BLUE SHIELD
TN
05
—
3542761
—
TN
Enumeration date
06/29/2006
Last updated
11/06/2007
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