Organization
VMS HOME OXYGEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY D. SHANER (BILLING SPECIALIST)
(910) 892-9286
Entity
Organization
Contact information
Practice address
1004B W CUMBERLAND ST, DUNN, NC 28334-4716
(910) 892-9286
(910) 892-1767
Mailing address
1004B W CUMBERLAND ST, DUNN, NC 28334-4716
(910) 892-9286
(910) 892-1767
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01501 (BDP)
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
13310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045GX
BCBS PROVIDER ID
NC
05
—
7702028
—
NC
Enumeration date
04/03/2006
Last updated
06/27/2022
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