Healthcare Provider Details

I. General information

NPI: 1497812986
Provider Name (Legal Business Name): RESPIRATORY HEALTH ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 NORTH MAIN ST STE 208
FALL RIVER MA
02720-2132
US

IV. Provider business mailing address

56 NORTH MAIN ST STE 208
FALL RIVER MA
02720-2132
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-7473
  • Fax: 508-730-2235
Mailing address:
  • Phone: 508-676-7473
  • Fax: 508-730-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMA0085022
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier134554
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBLUE CROSS
# 2
Identifier1525921
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 3
Identifier97130
Identifier TypeOTHER
Identifier StateRI
Identifier IssuerBLUE CROSS

VIII. Authorized Official

Name: MR. WILLIAM RAYMOND KEOUGH JR.
Title or Position: OWNER
Credential:
Phone: 508-676-7473