Professional Oxygen Supply Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PROFESSIONAL OXYGEN SUPPLY INC.

Practice address

1804 Dundee Dr
Rawlins, WY 82301

Phone

(307) 328-1357

NPI assigned

Nov 8, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deena Roneice Neal, C.R.T.

Title

President

Phone

(307) 328-1357

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1477623254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W BUFFALO ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015621",
            "telephone_number": "307-328-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 DUNDEE DR",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "82301",
            "telephone_number": "307-328-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OXYGEN SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "RONEICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-328-1357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.R.T."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "303840",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Henry Postlethwaite, D.C.
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• Jared Pulliam
• Purple Sage Tele-Home Health LLC
• Rawlins Family Medical, PC
• Rawlins Family Mental Health Center, LLC

• Oxygen Equipment & Supplies (DME) in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Oxygen Equipment & Supplies (DME) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.