Organization
OXY-MED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT DOUGLAS ALLEN (PRESIDENT)
(913) 592-2771
Entity
Organization
Contact information
Practice address
2601 IOWA ST, LAWRENCE, KS 66046-4106
(785) 749-2166
Mailing address
2601 IOWA ST, LAWRENCE, KS 66046-4106
(785) 749-2166
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118463
BC/BS OF KANSAS
KS
05
—
200423090A
—
KS
Enumeration date
12/12/2006
Last updated
11/29/2010
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