NPI: 1174084628 · RIPLEY, TN 38063 · Oxygen Equipment & Supplies (DME) · NPI assigned 03/27/2019
| Authorized Official | HOLMES, VIRGIL (PRESIDENT) |
| NPI Enumeration Date | 03/27/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $6.17 |
| 2022 | 13 | $79.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0001 | Standard wheelchair | 26 | 24 | $85.74 |