Provider Demographics
NPI:1689690422
Name:SYMPHONY RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:SYMPHONY RESPIRATORY SERVICES
Other - Org Name:GOLDEN CARE OF WELLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-325-7777
Mailing Address - Street 1:3500 FINANCIAL PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3999
Mailing Address - Country:US
Mailing Address - Phone:850-325-7777
Mailing Address - Fax:850-325-7778
Practice Address - Street 1:104 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67152-3949
Practice Address - Country:US
Practice Address - Phone:620-326-2100
Practice Address - Fax:620-399-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS004-F-01332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200462080AMedicaid
KS0939060040Medicare ID - Type UnspecifiedPROVIDER NUMBER