Organization Name: | GX2 LLC |
NPI Number: | 1124117494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY DEAN CULBERTSON (OWNERADMINISTRATOR) |
Mailing Address: | 102 E Main Lewistown |
State: | MO US |
Postal Code: | 63452 |
Phone Number: | 5732152333 |
Fax Number: | 5732152334 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |