Provider Demographics
NPI:1427054162
Name:AMERICAN OXYGEN SERVICE OF BALTIMORE, INC
Entity type:Organization
Organization Name:AMERICAN OXYGEN SERVICE OF BALTIMORE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-254-2000
Mailing Address - Street 1:7015 HARFORD RD
Mailing Address - Street 2:# A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7703
Mailing Address - Country:US
Mailing Address - Phone:410-254-2000
Mailing Address - Fax:410-254-4665
Practice Address - Street 1:7015 HARFORD RD
Practice Address - Street 2:# A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7703
Practice Address - Country:US
Practice Address - Phone:410-254-2000
Practice Address - Fax:410-254-4665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDY181OtherELDER HEALTH
MDY181OtherCAREFIRST BCBS
MD0397400001Medicare ID - Type Unspecified