Provider Demographics
NPI:1982921847
Name:POSITIVE AIR LLC
Entity Type:Organization
Organization Name:POSITIVE AIR LLC
Other - Org Name:CPAP RESOURCE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:541-282-9944
Mailing Address - Street 1:628 CRATER LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-6523
Mailing Address - Country:US
Mailing Address - Phone:541-282-9944
Mailing Address - Fax:541-282-2245
Practice Address - Street 1:628 CRATER LAKE AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6523
Practice Address - Country:US
Practice Address - Phone:541-282-9944
Practice Address - Fax:541-282-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR6408890001Medicare NSC