Healthcare Provider Details

I. General information

NPI: 1437660818
Provider Name (Legal Business Name): PULMONARY CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 DAVIS BLVD
BREMEN GA
30110-2569
US

IV. Provider business mailing address

730 LEIGHTON AVE
ANNISTON AL
36207-5746
US

V. Phone/Fax

Practice location:
  • Phone: 678-821-8100
  • Fax: 678-821-8011
Mailing address:
  • Phone: 256-238-1444
  • Fax: 256-238-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number229
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA CASH
Title or Position: COO
Credential:
Phone: 256-238-1444