Provider Demographics
NPI:1497812986
Name:RESPIRATORY HEALTH ASSOCIATES INC
Entity Type:Organization
Organization Name:RESPIRATORY HEALTH ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:KEOUGH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-676-7473
Mailing Address - Street 1:56 NORTH MAIN ST
Mailing Address - Street 2:STE 208
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2132
Mailing Address - Country:US
Mailing Address - Phone:508-676-7473
Mailing Address - Fax:508-730-2235
Practice Address - Street 1:56 NORTH MAIN ST
Practice Address - Street 2:STE 208
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2132
Practice Address - Country:US
Practice Address - Phone:508-676-7473
Practice Address - Fax:508-730-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA0085022332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA134554OtherBLUE CROSS
MA1525921Medicaid
RI97130OtherBLUE CROSS
MA1525921Medicaid