Provider Demographics
NPI:1962629865
Name:PULMONARY SERVICES INC.
Entity Type:Organization
Organization Name:PULMONARY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:RACHAL
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-346-4440
Mailing Address - Street 1:407 S PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-3039
Mailing Address - Country:US
Mailing Address - Phone:318-253-8635
Mailing Address - Fax:318-253-8635
Practice Address - Street 1:407 S PRESTON ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-3039
Practice Address - Country:US
Practice Address - Phone:318-253-8635
Practice Address - Fax:318-253-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1161136Medicaid
LA27019OtherBLUE CROSS
0252200002Medicare NSC