Provider Demographics
NPI:1326005125
Name:MEDICAL PULMONARY SERVICES, INC.
Entity Type:Organization
Organization Name:MEDICAL PULMONARY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-336-3303
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-0324
Mailing Address - Country:US
Mailing Address - Phone:757-336-3303
Mailing Address - Fax:
Practice Address - Street 1:5135 RICHARDSON ST
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE
Practice Address - State:VA
Practice Address - Zip Code:23336-3513
Practice Address - Country:US
Practice Address - Phone:757-336-3303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000005027332BX2000X
VA0206009187332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0305810001Medicare NSC