Organization
OXYGEN PLUS, CORP
Active
Parent organization
OXYGEN PLUS, CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
OXYGEN PLUS, CORP
Authorized official
THERESA CISSY MCLEAN (CEO)
(615) 320-1011
Entity
Organization
Contact information
Practice address
3529 BRAINERD RD, STE 2, CHATTANOOGA, TN 37411-2770
(423) 624-4062
Mailing address
3529 BRAINERD RD, STE 2, CHATTANOOGA, TN 37411-2770
(423) 624-4062
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000001961
TN
3336M0002X
Mail Order Pharmacy
3868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10074830
AMERIGROUP
TN
05
—
1454268
—
TN
01
—
4057101
BCBS
TN
01
—
A3735500
AMERICHOICE
TN
Enumeration date
10/05/2007
Last updated
10/05/2007
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