Provider Demographics
NPI:1235153644
Name:HEALTHWARE RESPIRATORY SERVICES, INC
Entity Type:Organization
Organization Name:HEALTHWARE RESPIRATORY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-836-6055
Mailing Address - Street 1:675 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-4637
Mailing Address - Country:US
Mailing Address - Phone:870-836-6055
Mailing Address - Fax:870-836-3621
Practice Address - Street 1:675 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-4637
Practice Address - Country:US
Practice Address - Phone:870-836-6055
Practice Address - Fax:870-836-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR49521OtherBCBS - RESPIRATORY SERVCI
AR49521OtherBCBS - RESPIRATORY SERVCI