Provider Demographics
NPI:1811708019
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 STE 3
Mailing Address - Street 2:
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 1:301 W EASTPORT ST
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-2010
Practice Address - Country:US
Practice Address - Phone:662-279-8182
Practice Address - Fax:662-279-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies