Healthcare Provider Details

I. General information

NPI: 1841616992
Provider Name (Legal Business Name): ALLPAPS RESPIRATORY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 MCCULLOCH BLVD N # 102
LAKE HAVASU CITY AZ
86403-5748
US

IV. Provider business mailing address

1955 MCCULLOCH BLVD N # 102
LAKE HAVASU CITY AZ
86403-5739
US

V. Phone/Fax

Practice location:
  • Phone: 928-302-5133
  • Fax: 928-302-5136
Mailing address:
  • Phone: 928-302-5133
  • Fax: 928-302-5136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number14-00030313
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: BILL MALLOY
Title or Position: PRESIDENT
Credential:
Phone: 928-302-5133