Big South Fork Oxygen and Medical Supplies
Organization Active NPI Oxygen Equipment & Supplies (DME) · Huntsville, TN
NPI 1346630993 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1346630993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 508 (TN)
- Legal business name
- BIG SOUTH FORK OXYGEN AND MEDICAL SUPPLIES
- Practice address
- 950 Baker Hwy Unit 2
Huntsville, TN 37756-4169 - Phone
- (423) 663-4663
- NPI assigned
- Feb 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Paula J Allred, DR.PH
- Title
- Vice President
- Phone
- (931) 879-9926
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Buckeye Home Health Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 508 | TN | Yes |
Addresses
Primary practice location
950 Baker Hwy Unit 2
Huntsville, TN 37756-4169
Mailing address
PO Box 1197
Jamestown, TN 38556-1197
Phone (941) 879-9926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152469 | Medicaid | TN |
Other names
- Buckeye Home Health Center, Inc.
Other providers in Huntsville, TN
- Appalachian Life Quality Initistive
- Mike J Baker
- Sylvia Louise Billingsley
- Erma Renee Bowling
- Buckeye Home Health Center, Inc.
- Kerri Denise Byrd-Hamby
- Ashley L Byrge
All providers in Huntsville, TN · Oxygen Equipment & Supplies (DME) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. 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.