Provider Demographics
NPI:1417908856
Name:RESPIRATORY HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:RESPIRATORY HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-437-8777
Mailing Address - Street 1:PO BOX 691263
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74169-1263
Mailing Address - Country:US
Mailing Address - Phone:918-437-8777
Mailing Address - Fax:918-437-8188
Practice Address - Street 1:11425 E 20TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-6438
Practice Address - Country:US
Practice Address - Phone:918-437-8777
Practice Address - Fax:918-437-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731468958001OtherBLUECROSS BLUESHIELD OK
OK731468958001OtherBLUECROSS BLUESHIELD OK