Provider Demographics
NPI:1144418880
Name:GREENE RESPIRATORY SERVICES, INC
Entity Type:Organization
Organization Name:GREENE RESPIRATORY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCAMILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-831-0507
Mailing Address - Street 1:2457 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1167
Mailing Address - Country:US
Mailing Address - Phone:419-427-0202
Mailing Address - Fax:419-420-0303
Practice Address - Street 1:2473 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1167
Practice Address - Country:US
Practice Address - Phone:419-427-0202
Practice Address - Fax:419-420-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMER 22038332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000014992OtherANTHEM
OH0917780Medicaid