Southern Illinois Oxygen & Med Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHERN ILLINOIS OXYGEN & MED SUPPLIES

Practice address

1107 W 10TH St
Metropolis, IL 62960-2432

Phone

(618) 524-2825

Fax

(618) 524-1659

NPI assigned

Apr 24, 2007

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Della Darlene PughNPI 1700986114

Title

Owner/Operator

Phone

(618) 285-3511

Specialties & licenses 1

Addresses

Tax ID family

Southern Illinois Oxygen Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Illinois Oxygen, Inc

  • Durable Medical Equipment & Medical Supplies
  • Rosiclare, IL
  • NPI 1447441308
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Della Darlene Pugh, R.N.

  • Durable Medical Equipment & Medical Supplies
  • Rosiclare, IL
  • NPI 1700986114
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1003035759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "ELIZABETHTOWN",
            "state": "IL",
            "postal_code": "629310382",
            "telephone_number": "618-285-3511",
            "fax_number": "618-285-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602432",
            "telephone_number": "618-524-2825",
            "fax_number": "618-524-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS OXYGEN & MED SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "618-285-3511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicely Ronielle Shelton
• John Howard Shelton, D.M.D.
• Jennifer Shoemate, M.S., CCC-SLP
• Laura Dawn Sielbeck, MS/CCC-SLP
• Southern Illinois Nursing & Rehab LLC
• Southgate Health Care Center, Inc
• Thomas Waldon Staton, M.D.
• Dylan Wade Street
• Ashley Dawn Suggs, APRN
• Tas of Illinois, LLC

• Durable Medical Equipment & Medical Supplies in Metropolis, IL
• Providers in Metropolis, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.