Provider Demographics
NPI:1780981647
Name:ADVANTAGE HOME OXYGEN & RESPIRATORY SERVICES, INC
Entity type:Organization
Organization Name:ADVANTAGE HOME OXYGEN & RESPIRATORY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:814-765-3338
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0276
Mailing Address - Country:US
Mailing Address - Phone:814-375-7990
Mailing Address - Fax:814-375-2341
Practice Address - Street 1:225 N 3RD ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2524
Practice Address - Country:US
Practice Address - Phone:814-765-3338
Practice Address - Fax:814-765-3378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000008708332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies