Organization Active NPI

Anaconda Oxygen Service

  • Durable Medical Equipment & Medical Supplies
  • Anaconda, MT
National Provider Identifier
1720119134
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
193 Issued in 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
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

301 Main St
Anaconda, MT 59711-2255

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anaconda Oxygen Service301 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 assignmentParticipating since Jun 19, 2001

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1720119134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112255",
            "telephone_number": "406-563-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112255",
            "telephone_number": "406-563-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANACONDA OXYGEN SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "406-563-5677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.