Provider Demographics
NPI:1871654202
Name:BRADEN PARTNERS, LP
Entity Type:Organization
Organization Name:BRADEN PARTNERS, LP
Other - Org Name:PACIFIC PULMONARY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP - FIELD SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-893-1518
Mailing Address - Street 1:5509 F ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-2818
Mailing Address - Country:US
Mailing Address - Phone:402-571-0212
Mailing Address - Fax:402-573-5107
Practice Address - Street 1:212 8TH ST S
Practice Address - Street 2:SUITE C
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2875
Practice Address - Country:US
Practice Address - Phone:218-236-7744
Practice Address - Fax:218-236-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies