Organization
SEIBERS DME & OXYGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY WAYNE SEIBERS (OWNER)
(931) 474-7208
Entity
Organization
Contact information
Practice address
488 N CHANCERY ST, MC MINNVILLE, TN 37110-2022
(931) 474-7208
(931) 507-7280
Mailing address
PO BOX 7101, MC MINNVILLE, TN 37111-7101
(931) 474-7208
(931) 507-7280
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000664
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454161
—
TN
01
—
4026027
BC/BS OF TENNESSEE
TN
Enumeration date
11/22/2005
Last updated
08/22/2020
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