Provider Demographics
NPI:1457489643
Name:MOUNTAIN RESPIRATORY SERVICE, INC
Entity Type:Organization
Organization Name:MOUNTAIN RESPIRATORY SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LAUGHTER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-693-3745
Mailing Address - Street 1:23 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4506
Mailing Address - Country:US
Mailing Address - Phone:828-253-2805
Mailing Address - Fax:828-253-9581
Practice Address - Street 1:23 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4506
Practice Address - Country:US
Practice Address - Phone:828-253-2805
Practice Address - Fax:828-253-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00101332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700302Medicaid
0277130001Medicare NSC