Palmetto Oxygen, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

CEN-007010 Issued in CO

Legal business name

PALMETTO OXYGEN, LLC

Practice address

7374 S Alton Way
Suite 202
Centennial, CO 80112

Phone

(303) 740-2171

Fax

(303) 740-2175

NPI assigned

Jan 31, 2011

Last updated

Jun 26, 2018By 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

Luke McGee

Title

Ceo

Phone

(646) 880-0473

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1598061186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CORPORATE BLVD STE 402",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694600",
            "telephone_number": "803-926-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 S ALTON WAY",
            "address_2": "SUITE 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-740-2171",
            "fax_number": "303-740-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OXYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-880-0473"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "CEN-007010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.