MEDICARE: ALLEGANY RESPIRATORY ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	15890	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124073044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGANY RESPIRATORY ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	22 QUEEN CITY DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2339
Country	:	US
Telephone Number	:	301-722-0490
Fax Number	:	301-722-0492

Provider Business Practice Location Address
First Line	:	22 QUEEN CITY DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2339
Country	:	US
Telephone Number	:	301-722-0490
Fax Number	:	301-722-0492

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. TRICIA LINN WITT
Credential	:	RRT
Telephone Number	:	301-722-0490

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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Directions to “ALLEGANY RESPIRATORY ASSOCIATES LLC ” Practice Location

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