Provider Demographics
NPI:1376576637
Name:RESPIRATORY HEALTH SERVICES &ASSOCIATES
Entity Type:Organization
Organization Name:RESPIRATORY HEALTH SERVICES &ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:252-798-0111
Mailing Address - Street 1:16441 HIGWAY NC 125/903
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892
Mailing Address - Country:US
Mailing Address - Phone:252-798-0111
Mailing Address - Fax:252-798-0076
Practice Address - Street 1:16441 HIGWAY NC 125/903
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892
Practice Address - Country:US
Practice Address - Phone:252-798-0111
Practice Address - Fax:252-798-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA1145227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7490010Medicaid