Provider Demographics
NPI:1942365135
Name:COLLINS RESPIRATORY CARE INC
Entity Type:Organization
Organization Name:COLLINS RESPIRATORY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:606-758-9333
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:BRODHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40409-0367
Mailing Address - Country:US
Mailing Address - Phone:606-758-9333
Mailing Address - Fax:606-758-4079
Practice Address - Street 1:35 WEST MAIN ST.
Practice Address - Street 2:
Practice Address - City:BRODHEAD
Practice Address - State:KY
Practice Address - Zip Code:40409
Practice Address - Country:US
Practice Address - Phone:606-758-9333
Practice Address - Fax:606-758-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMG0107332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90061029Medicaid
KY90061029Medicaid