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Organization

HAZLETON OXYGEN MEDICAL EQUIPMENT INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A. SCARCELLA (PRESIDENT)
(570) 459-4300
Entity
Organization

Contact information

Practice address
1512B N CHURCH ST, HAZLETON, PA 18202-9503
(570) 459-4300
(570) 459-2100
Mailing address
1512B N CHURCH ST, HAZLETON, PA 18202-9503
(570) 459-4300
(570) 459-2100

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
82373635
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019172170001
PA
01
1423015
BLUE CROSS BLUE SHIELD
PA
Enumeration date
09/01/2005
Last updated
08/22/2020
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