Associated Medical & Oxygen Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

090009644 Issued in LA

Legal business name

ASSOCIATED MEDICAL & OXYGEN SUPPLY, INC.

Practice address

8870 Youree Dr Ste 107
Shreveport, LA 71115-2512

Phone

(318) 798-6004

Fax

(318) 798-9570

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Darrel Coates

Title

President

Phone

(318) 798-6004

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1700938693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 YOUREE DR STE 107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152512",
            "telephone_number": "318-798-6004",
            "fax_number": "318-798-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 YOUREE DR STE 107",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152512",
            "telephone_number": "318-798-6004",
            "fax_number": "318-798-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED MEDICAL & OXYGEN SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-798-6004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "090009644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER NUMBER",
            "identifier": "B7498",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1656381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.