Organization Active NPI

Mountaineer Oxygen Services

  • Oxygen Equipment & Supplies (DME)
  • Sylva, NC
National Provider Identifier
1902003999
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MOUNTAINEER OXYGEN SERVICES
Practice address
1643 E Main St
Sylva, NC 28779-5815
Phone
(828) 586-5353
Fax
(828) 586-2525
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Heath West Sutton, RRT-RCP
Title
President
Phone
(828) 586-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1643 E Main St
Sylva, NC 28779-5815

Mailing address

1643 E Main St
Sylva, NC 28779-5815
Phone (828) 586-5353

Other identifiers 1

IdentifierTypeStateIssuer
7704740MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092550 NC DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7719194059 Practice locations: Sylva, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Mountaineer Oxygen Services1643 E Main St, Sylva, NC 28779-5815(828) 586-5353 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices|Ventilators Accessories and/or Supplies Does not accept assignmentParticipating since Sep 29, 2003

National Provider Directory

National Provider Directory
Tax ID family
Mountaineer Oxygen Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1643 E Main St
Sylva, NC 28779
Phone (828) 586-5353

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1902003999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 E MAIN ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795815",
            "telephone_number": "828-586-5353",
            "fax_number": "828-586-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 E MAIN ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795815",
            "telephone_number": "828-586-5353",
            "fax_number": "828-586-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER OXYGEN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-586-5353",
        "authorized_official_credential": "RRT-RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.