Provider Demographics
NPI:1932436540
Name:CLEAN AIR UNLIMITED, INC.
Entity Type:Organization
Organization Name:CLEAN AIR UNLIMITED, INC.
Other - Org Name:REXAIR
Other - Org Type:Other Name
Authorized Official - Title/Position:COMPANY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-445-7099
Mailing Address - Street 1:6801 HIGHWAY 40 W
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9536
Mailing Address - Country:US
Mailing Address - Phone:573-445-7099
Mailing Address - Fax:573-445-7307
Practice Address - Street 1:59289 PRAIRIE HILL RD
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:MO
Practice Address - Zip Code:65074-3142
Practice Address - Country:US
Practice Address - Phone:573-392-4428
Practice Address - Fax:573-392-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20463022332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies