Provider Demographics
NPI:1336312545
Name:ABSOLUTE RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:ABSOLUTE RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:401-458-1902
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 223
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3228
Mailing Address - Country:US
Mailing Address - Phone:401-458-1902
Mailing Address - Fax:401-458-1919
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 223
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-458-1902
Practice Address - Fax:401-458-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1930001Medicaid