Provider Demographics
NPI:1053737627
Name:OXYCARE PLUS, INC
Entity type:Organization
Organization Name:OXYCARE PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-329-9095
Mailing Address - Street 1:404 WILKINS WISE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1711
Mailing Address - Country:US
Mailing Address - Phone:662-329-9095
Mailing Address - Fax:662-329-8699
Practice Address - Street 1:1001 ROSE DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-2622
Practice Address - Country:US
Practice Address - Phone:205-330-0052
Practice Address - Fax:205-330-0054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OXYCARE PLUS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-06
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies