Provider Demographics
NPI:1295795110
Name:RESPIRATORY SUPPORT SYSTEMS, INC.
Entity type:Organization
Organization Name:RESPIRATORY SUPPORT SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-387-2300
Mailing Address - Street 1:3081 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-8876
Mailing Address - Country:US
Mailing Address - Phone:570-387-2300
Mailing Address - Fax:570-387-1983
Practice Address - Street 1:3081 COLUMBIA BLVD
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-8876
Practice Address - Country:US
Practice Address - Phone:570-387-2300
Practice Address - Fax:570-387-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
42642OtherGHP
207437OtherBS
39HA58OtherBC
1072900001Medicare NSC