Active NPI
Oxygen Plus, Corp
- Oxygen Equipment & Supplies (DME)
- Gaffney, SC
National Provider Identifier
1124279807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 6510133
- Legal business name
- OXYGEN PLUS, CORP
- Practice address
- 300 N Limestone St
Gaffney, SC 29340-3138 - Phone
- (864) 489-8835
- Fax
- (864) 489-8864
- NPI assigned
- Oct 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Cissy McLean, RN
- Title
- Ceo
- Phone
- (615) 891-4154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 6510133 | SC | Primary |
Addresses
Primary practice location
300 N Limestone St
Gaffney, SC 29340-3138
Mailing address
900 McArthur St
Manchester, TN 37355-2326
Phone (931) 728-4010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3198 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1124279807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552326",
"telephone_number": "931-728-4010",
"fax_number": "931-728-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N LIMESTONE ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293403138",
"telephone_number": "864-489-8835",
"fax_number": "864-489-8864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXYGEN PLUS, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-01",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "CISSY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-891-4154",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": "6510133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE3198",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.