ROTECH OXYGEN AND MEDICAL EQUIPMENT INC (NPI# 1720058506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720058506 |
| Entity Type | Organization |
| Organization Name | ROTECH OXYGEN AND MEDICAL EQUIPMENT INC |
| Other Organization Name | LAUREL MOUNTAIN MEDICAL |
| Practice Address |
1179 Good Hope Pike Suite 101 Clarksburg WV 26301-4579 |
| Mailing Address |
Po Box 27968 Salt Lake City UT 84127-0968 |
| Practice Telephone | 3046241750 |
| Practice Fax Number | 3046241751 |
| Mailing Telephone | 5709668030 |
| Mailing Fax Number | 5709668040 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810016746 | 05 |
| Other Name | Type Code |
|---|---|
| LAUREL MOUNTAIN MEDICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715074 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7897 Sw Jack James Dr, Suite E, Stuart, FL 34997-7200 | 2006-01-25 |
| 1447220397 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2620 Sw 17th Rd, Suite 100, Ocala, FL 34471-2038 | 2006-01-24 |
| 1770563983 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 4360 Oakes Rd, Suite 605, Davie, FL 33314-2227 | 2006-01-23 |
| 1487634697 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 16547 Us Highway 19, Suite 102, Hudson, FL 34667-4405 | 2006-01-23 |
| 1427038637 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 5315 Great Oak Drive, Lakeland, FL 33815 | 2006-01-23 |
| 1992785208 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2032 Talley Rd, Suite 7, Leesburg, FL 34748-3486 | 2006-01-20 |
| 1245210525 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 12700 Metro Pkwy, Suite 4, Ft Myers, FL 33966-1303 | 2006-01-20 |
| 1255311585 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 8350 Parkline Blvd, Suite 9, Orlando, FL 32809 | 2006-01-20 |
| 1659351971 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2900 Horseshoe Dr S, Suite 300, Naples, FL 34104-6127 | 2006-01-20 |
| 1629058912 | Rotech Oxygen and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7033 Commonwealth Ave, Suite 9, Jacksonville, FL 32220-2851 | 2006-01-20 |
| Street Address |
1179 GOOD HOPE PIKE SUITE 101 |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952760878 | Bryden LLC | Durable Medical Equipment & Medical Supplies | 22580 Muscadine Dr, Clarksburg, MD 20871-3343 | 2016-02-19 |
| 1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
| 1093142796 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 22700 Sweet Shrub Drive, Clarksburg, MD 20871 | 2013-09-26 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1952457681 | Q-care Inc. | Durable Medical Equipment & Medical Supplies | 12018 Tregoning Pl, Clarksburg, MD 20871-9360 | 2007-01-26 |
| 1609974898 | Pharmacy Associates, Inc | Durable Medical Equipment & Medical Supplies | 1807 W Pike St, Clarksburg, WV 26301-2345 | 2006-09-20 |
| 1962505628 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 701 East Main St, Clarksburg, WV 26301-3225 | 2006-09-07 |
| 1285743500 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 505 Rosebud Plaza, Clarksburg, WV 26301-9380 | 2006-08-30 |
| 1790780377 | Blands Drug Store | Durable Medical Equipment & Medical Supplies | 217 W Pike St, Clarksburg, WV 26301-2750 | 2005-06-20 |
| 1891871844 | Byard-mercer Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 440 W Main St, Clarksburg, WV 26301-2817 | 2006-10-31 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on ROTECH OXYGEN AND MEDICAL EQUIPMENT INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.