Organization
CACHE VALLEY OXYGEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT F STOKES R.R.T. (OWNER/CEO)
(435) 752-2227
Entity
Organization
Contact information
Practice address
1395 N 400 E, SUITE A, LOGAN, UT 84341-7562
(435) 752-2227
(435) 753-1965
Mailing address
1395 N 400 E, SUITE A, LOGAN, UT 84341-7562
(435) 752-2227
(435) 753-1965
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
53483381714
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003075500
—
ID
05
—
870342871020
—
UT
Enumeration date
10/31/2005
Last updated
06/22/2012
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