Provider Demographics
NPI:1013080472
Name:MILLENNIUM RESPIRATORY SERVICES INC
Entity Type:Organization
Organization Name:MILLENNIUM RESPIRATORY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-549-7200
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-0951
Mailing Address - Country:US
Mailing Address - Phone:410-549-7200
Mailing Address - Fax:410-549-9200
Practice Address - Street 1:3402 AVIS COURT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-8301
Practice Address - Country:US
Practice Address - Phone:410-549-7200
Practice Address - Fax:410-549-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1021332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMH98MIOtherBLUE CROSS BLUE SHIELD
1251570001Medicare ID - Type Unspecified