Low Country Home Oxygen & Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

65003600 Issued in SC

Legal business name

LOW COUNTRY HOME OXYGEN & MEDICAL

Practice address

262 Red Cedar Street
Suite 1
Bluffton, SC 29910-8943

Phone

(843) 706-3424

Fax

(843) 706-9475

NPI assigned

Jan 15, 2007

Last updated

Jan 21, 2009By 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

Glenn Ferguson Schrader

Title

President

Phone

(843) 706-3424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1700937083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 RED CEDAR STREET",
            "address_2": "SUITE 1",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108943",
            "telephone_number": "843-706-3424",
            "fax_number": "843-706-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 RED CEDAR STREET",
            "address_2": "SUITE 1",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108943",
            "telephone_number": "843-706-3424",
            "fax_number": "843-706-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HOME OXYGEN & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "FERGUSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-706-3424"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "65003600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.