Provider Demographics
NPI:1184021594
Name:ADVANCED RESPIRATORY, INC.
Entity type:Organization
Organization Name:ADVANCED RESPIRATORY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP AND PRESIDENT HEALTHCARE SYSTEM
Authorized Official - Prefix:MR
Authorized Official - First Name:REAZUR
Authorized Official - Middle Name:
Authorized Official - Last Name:RASUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-823-6722
Mailing Address - Street 1:1020 COUNTY ROAD F W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55126-2910
Mailing Address - Country:US
Mailing Address - Phone:800-426-4224
Mailing Address - Fax:651-766-2797
Practice Address - Street 1:26400 POLLARD RD UNIT B
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4273
Practice Address - Country:US
Practice Address - Phone:251-625-3816
Practice Address - Fax:251-625-3665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED RESPIRATORY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-01
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009506710Medicaid
AL164814Medicaid
AL0828240002Medicare NSC
MN0828240001Medicare NSC