Organization Name: | SUMMIT OXYGEN, INC. |
NPI Number: | 1265859227 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY MILLER (PRESIDENT) |
Mailing Address: | 135 Main Street Suite 4 Dillon |
State: | CO US |
Postal Code: | 80435 |
Phone Number: | 9704068518 |
Fax Number: | 8889773379 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 28022567-0000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |