Organization
MED-OX CONCENTRATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY L REED (OWNER)
(330) 627-2373
Entity
Organization
Contact information
Practice address
52 GALLO RD NW, CARROLLTON, OH 44615-9754
(330) 627-2373
(330) 627-3704
Mailing address
1171 LINDY LN NW, CARROLLTON, OH 44615-9364
(330) 627-2373
(330) 627-3704
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
021253950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227514
ANTHEM BLUE CROSS
OH
01
—
0004366768
AETNA ID #
OH
01
—
0025168
CHAMPUS
OH
01
—
0110296484
GE LIFE & ANNUITY
OH
05
—
06744579
—
OH
01
—
1403803
UNITED MINE WORKERS OF AM
OH
01
—
1774810001
BLUE CROSS/BLUE SHIELD
OH
01
—
2864810890200
COMMUNITY MUTUAL
OH
01
—
341053157
NORTH AMERICAN COAL
OH
01
—
34105315700
BUREAU OF WORK COMP
OH
01
—
476185
BLACK LUNG
OH
Enumeration date
10/20/2006
Last updated
06/20/2008
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