Organization
MED-OX HOME MEDICAL
Active
Other names
Mark II Ent., LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A SMITH (MANAGING MEMBER)
(937) 323-5764
Entity
Organization
Contact information
Practice address
2419 E HIGH ST, SPRINGFIELD, OH 45505-1323
(937) 398-0016
(937) 398-0018
Mailing address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2742849
—
OH
Enumeration date
09/13/2006
Last updated
08/18/2011
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