Advantage Home Medical Equipment, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Jasper, FL
NPI 1104820844 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1104820844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 1175 (FL)
- Legal business name
- ADVANTAGE HOME MEDICAL EQUIPMENT, INC.
- Practice address
- 605 Hwy 41 NW
Jasper, FL 32052 - Phone
- (386) 792-2224
- Fax
- (386) 792-2244
- NPI assigned
- Jun 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Martha W Butler
- Title
- Manager
- Phone
- (386) 792-2224
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1175 | FL | Yes |
Addresses
Primary practice location
605 Hwy 41 NW
Jasper, FL 32052
Mailing address
PO Box 369
Jasper, FL 32052-0369
Phone (386) 792-2224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R8968 | Other | FL | BCBS PROVIDER NUMBER |
| 951940800 | Medicaid | FL |
Other providers in Jasper, FL
All providers in Jasper, FL · Oxygen Equipment & Supplies (DME) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.