Provider Demographics
NPI:1841333879
Name:RESPIMED OXYGEN SERVICES, LLC
Entity type:Organization
Organization Name:RESPIMED OXYGEN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-393-4407
Mailing Address - Street 1:102 WEST MAIN ST PO BOX 990
Mailing Address - Street 2:SUITE D
Mailing Address - City:WARSAW
Mailing Address - State:KY
Mailing Address - Zip Code:41095
Mailing Address - Country:US
Mailing Address - Phone:859-567-1782
Mailing Address - Fax:
Practice Address - Street 1:102 WEST MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:WARSAW
Practice Address - State:KY
Practice Address - Zip Code:41095
Practice Address - Country:US
Practice Address - Phone:859-567-1782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP07184332BX2000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100014360Medicaid
KY5906170001Medicare NSC