| NPI | 1881639144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY FITZGERALD Executive Vice President 307-688-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: WY 17004748) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |