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 C MCLEAN (CEO)
(615) 320-1011
Entity
Organization
Contact information
Practice address
307 BETSY PACK DR, JASPER, TN 37347-3317
(423) 742-0711
Mailing address
307 BETSY PACK DR, JASPER, TN 37347-3317
(423) 742-0711
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
01/21/2009
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