Active NPI
Sault Oxygen, Inc
Doing business as River Cities Oxygen
- Oxygen Equipment & Supplies (DME)
- Marinette, WI
National Provider Identifier
1174624100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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, 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
- Anna Belleau
- Title
- Treasurer
- Phone
- (906) 253-1721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41735900 | Medicaid | WI | |
| 4957744 | Medicaid | MI |
Other names 1
- River Cities Oxygen
National Provider Directory
National Provider Directory- Tax ID family
- River Cities Oxygen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba River Cities Oxygen
- Oxygen Equipment & Supplies (DME)
- Sault Sainte Marie, MI
- NPI 1215932827
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.