Organization
PNEU-MED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DIANE GLINES (BUSINESS MANAGER)
(800) 636-2704
Entity
Organization
Contact information
Practice address
3475 E AMAZON, EUGENE, OR 97405-0982
(800) 636-2704
(541) 485-5529
Mailing address
PO BOX 50490, EUGENE, OR 97405-0982
(800) 636-2704
(541) 485-5529
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NPC-0001897
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005967
—
OR
Enumeration date
06/14/2006
Last updated
05/14/2008
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