Active NPI
Pneu-Med, Inc.
- Oxygen Equipment & Supplies (DME)
- Eugene, OR
National Provider Identifier
1720021868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- NPC-0001897
- Legal business name
- PNEU-MED, INC.
- Practice address
- 3475 E Amazon
Eugene, OR 97405-0982 - Phone
- (800) 636-2704
- Fax
- (541) 485-5529
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stephanie Diane Glines
- Title
- Business Manager
- Phone
- (800) 636-2704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NPC-0001897 | OR | Primary |
Addresses
Primary practice location
3475 E Amazon
Eugene, OR 97405-0982
Mailing address
PO Box 50490
Eugene, OR 97405-0982
Phone (800) 636-2704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005967 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
3475 E Amazon Dr
Eugene, OR 97405
Phone (800) 636-2704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1720021868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50490",
"city": "EUGENE",
"state": "OR",
"postal_code": "974050982",
"telephone_number": "800-636-2704",
"fax_number": "541-485-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 E AMAZON",
"city": "EUGENE",
"state": "OR",
"postal_code": "974050982",
"telephone_number": "800-636-2704",
"fax_number": "541-485-5529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PNEU-MED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "GLINES",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "800-636-2704",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "OR",
"license": "NPC-0001897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005967",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.