Provider Demographics
NPI:1932282126
Name:PULMONARY SERVICES INC
Entity Type:Organization
Organization Name:PULMONARY SERVICES INC
Other - Org Name:HOME MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-346-2323
Mailing Address - Street 1:746 NW MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322-1642
Mailing Address - Country:US
Mailing Address - Phone:318-346-2323
Mailing Address - Fax:318-346-2323
Practice Address - Street 1:746 NW MAIN
Practice Address - Street 2:#9
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322
Practice Address - Country:US
Practice Address - Phone:318-346-2323
Practice Address - Fax:318-346-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1336467Medicaid
LA0252200001Medicare NSC