NPIMap

Organization Active NPI

Palmetto Oxygen, LLC

  • Oxygen Equipment & Supplies (DME)
  • Saint Louis, MO
National Provider Identifier
1659736619
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PALMETTO OXYGEN, LLC
Practice address
6651 Chippewa St
Suite 308
Saint Louis, MO 63109-2538
Phone
(314) 371-8519
Fax
(877) 404-4713
NPI assigned
Dec 17, 2015
Organization subpart
Yes
Parent organization
MEDBRIDGE HOME MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Mr. Matthew S Mellott
Title
President
Phone
(864) 272-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

6651 Chippewa St
Suite 308
Saint Louis, MO 63109-2538

Mailing address

430 Woodruff Rd
Suite 450
Greenville, SC 29607-3495
Phone (864) 272-1840

Other names 1

  • MedBridge Home Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Oxygen LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1659736619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WOODRUFF RD",
            "address_2": "SUITE 450",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073495",
            "telephone_number": "864-272-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST",
            "address_2": "SUITE 308",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-371-8519",
            "fax_number": "877-404-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OXYGEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDBRIDGE HOME MEDICAL LLC",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MELLOTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-272-1840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedBridge Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.