Anaconda Oxygen Service

Organization Active NPI Durable Medical Equipment & Medical Supplies · Anaconda, MT

NPI 1720119134 · NPPES record last updated Jun 17, 2014

Key facts

NPI
1720119134
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
193 (MT)
Legal business name
ANACONDA OXYGEN SERVICE
Practice address
301 Main St
Anaconda, MT 59711-2255
Phone
(406) 563-5677
NPI assigned
Mar 8, 2007
Organization subpart
No

Authorized official

Name
James D Anderson
Title
Owner President
Phone
(406) 563-5677

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anaconda Oxygen Service
301 Main Street, Anaconda, MT 59711-2255 · (406) 563-5677
Ultraviolet Light Devices and/or Supplies|Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Resp… Does not accept assignment
Participating since Jun 19, 2001

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930066506 MT DME Supplier - Medical Supply Company With Respiratory Therapist 7315059847 Practice locations: Anaconda, MT

National Provider Directory

Locations

301 Main St
Anaconda, MT 59711
Phone (406) 563-5677

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 193 MT Yes

Addresses

Primary practice location

301 Main St
Anaconda, MT 59711-2255

Mailing address

301 Main St
Anaconda, MT 59711-2255
Phone (406) 563-5677

Other providers in Anaconda, MT

All providers in Anaconda, MT · Durable Medical Equipment & Medical Supplies in Montana

Sources for this page

Verify at the official NPI Registry.