| Organization Name: | MOUNTAIN AIR OXYGEN SERVICE, INC. |
| NPI Number: | 1164429650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSANNE L KANEN (OWNER/PRESIDENT) |
| Mailing Address: | 2415 Mullins Ave. Alamosa |
| State: | CO US |
| Postal Code: | 811014264 |
| Phone Number: | 7195892573 |
| Fax Number: | 7195898891 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 07150460001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |