Organization Active NPI

Sault Oxygen, Inc

Doing business as River Cities Oxygen

  • Oxygen Equipment & Supplies (DME)
  • Marinette, WI
National Provider Identifier
1174624100
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SAULT OXYGEN, INC
Doing business as
River Cities Oxygen
Practice address
11 Ogden St
Marinette, WI 54143-2933
Phone
(715) 732-7030
Fax
(715) 732-4202
NPI assigned
Sep 25, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Anna Belleau
Title
Treasurer
Phone
(906) 253-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

11 Ogden St
Marinette, WI 54143-2933

Mailing address

PO Box 642
Marinette, WI 54143-0642
Phone (715) 732-7030

Other identifiers 2

IdentifierTypeStateIssuer
41735900MedicaidWI
4957744MedicaidMI

Other names 1

  • River Cities Oxygen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
River Cities Oxygen2 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.

Locations

11 Ogden St
Marinette, WI 54143
Phone (715) 732-7030

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1174624100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541430642",
            "telephone_number": "715-732-7030",
            "fax_number": "715-732-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OGDEN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432933",
            "telephone_number": "715-732-7030",
            "fax_number": "715-732-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULT OXYGEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BELLEAU",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "906-253-1721"
    },
    "taxonomies": [
        {
            "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": "41735900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4957744",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Cities Oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.