Waterville Home Oxygen, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MGD80001003 Issued in ME

Legal business name

WATERVILLE HOME OXYGEN, LLC

Doing business as

Augusta Location, Waterville Home Oxygen

Practice address

99 Bangor St
Augusta, ME 04330-4340

Phone

(207) 624-0911

Fax

(207) 624-0912

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Joan Turner, R.R.T

Title

Member/Manager

Phone

(207) 872-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Augusta Location, Waterville Home Oxygen Doing business as

Locations

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1578842175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 COLLEGE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015604",
            "telephone_number": "207-872-0500",
            "fax_number": "207-872-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BANGOR ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304340",
            "telephone_number": "207-624-0911",
            "fax_number": "207-624-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE HOME OXYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "207-872-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.R.T"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ME",
            "license": "MGD80001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432147900",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Location, Waterville Home Oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin G. Ward, APRN
• Kathryn Wardwell, FNP
• Michelle Warncke, MD
• Heather Washburn
• Olivia Washburn
• Philip Allen Watkins
• Diane Watne, R.D.
• Caeley Watson, PMHNP-BC
• Melinda J Watson, RN-C
• Richard L Watson, LCSW

• Oxygen Equipment & Supplies (DME) in Augusta, ME
• Providers in Augusta, ME by specialty
• Oxygen Equipment & Supplies (DME) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.