Mountain Air Oxygen Service, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MOUNTAIN AIR OXYGEN SERVICE, INC.

Practice address

2415 Mullins Ave.
Alamosa, CO 81101-4264

Phone

(719) 589-2573

Fax

(719) 589-8891

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Susanne L Kanen

Title

Owner/President

Phone

(719) 589-4112

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Offutt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alamosa, CO
  • NPI 1902976566
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1164429650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE.",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014264",
            "telephone_number": "719-589-2573",
            "fax_number": "719-589-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE.",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014264",
            "telephone_number": "719-589-2573",
            "fax_number": "719-589-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AIR OXYGEN SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "719-589-4112"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "07150460001",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08000648",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Moore IV
• Mario Moore
• Michelle Moreno
• Doris Morgan, MED-CLINICAL COUNSEL
• Breanna Mae Mosco, LPCC
• Mountain Harmony Yoga and Bodywork
• Mountain Valley Eye Care LLC
• Mountain Valley Home Care
• Shanae Karen Mundee, ATC
• Stephen Lloyd Mundee

• Oxygen Equipment & Supplies (DME) in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Oxygen Equipment & Supplies (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.