Shot

LBN: Stonewall Home Oxygen Therapy, Inc.
Shot is an health care organization with primary practice located at 456 Market Place Mall Suite A, Weston WV 26452-6938. The organization recently has only one registered license in Suppliers / Hearing Aid Equipment, which is considered as the primary health care specialty. Stonewall Home Oxygen Therapy, Inc. can be contacted via phone (304) 269-0100, or through Eisenbeis, Mary Jane via phone (304) 269-0100.

Contact Information

Primary practice address
456 Market Place Mall Suite A Weston WV 26452-6938
Phone: (304) 269-0100
Fax: (304) 269-4559
Website:
Map and Directions
Authorized official contact:
Name: Eisenbeis, Mary Jane
Phone: (304) 269-0100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Hearing Aid Equipment 332S00000X

Profile Details

NPI number 1033546924
LBN Legal business name Stonewall Home Oxygen Therapy, Inc.
DBA Doing business as Shot
Authorized official Eisenbeis, Mary Jane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2013
Last updated Nov 13th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033546924 NPPES
West Virginia MEDICAID 3910001067

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