Provider Demographics
NPI:1801213236
Name:ALLIANCE RESPIRATORY CARE, LLC
Entity Type:Organization
Organization Name:ALLIANCE RESPIRATORY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-449-0619
Mailing Address - Street 1:PO BOX 1871
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-0242
Mailing Address - Country:US
Mailing Address - Phone:509-429-8155
Mailing Address - Fax:509-689-0879
Practice Address - Street 1:2323 W BROADWAY AVE STE 6
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2676
Practice Address - Country:US
Practice Address - Phone:509-429-8155
Practice Address - Fax:509-689-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies