Provider Demographics
NPI:1366474702
Name:RESPIRATORY SERVICES INC
Entity Type:Organization
Organization Name:RESPIRATORY SERVICES INC
Other - Org Name:FULLER MEDICAL COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:256-547-4991
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-0284
Mailing Address - Country:US
Mailing Address - Phone:256-891-2357
Mailing Address - Fax:256-891-4515
Practice Address - Street 1:6275 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950
Practice Address - Country:US
Practice Address - Phone:256-891-2357
Practice Address - Fax:256-891-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51052577OtherBCBS OF AL
AL51052577OtherBCBS OF AL
AL0123910002Medicare ID - Type Unspecified