Provider Demographics
NPI:1164892345
Name:CENTRAL PLAINS RESPIRATORY & MEDICAL, LLC
Entity Type:Organization
Organization Name:CENTRAL PLAINS RESPIRATORY & MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RESPIRATORY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:785-527-8727
Mailing Address - Street 1:1331 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935
Mailing Address - Country:US
Mailing Address - Phone:785-527-8727
Mailing Address - Fax:785-527-8728
Practice Address - Street 1:1331 18TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935
Practice Address - Country:US
Practice Address - Phone:785-527-8727
Practice Address - Fax:785-527-8728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS7512130001Medicare NSC