Healthcare Provider Details
I. General information
NPI: 1982053690
Provider Name (Legal Business Name): RESPIRA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2016
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
323 DECATUR PIKE
ATHENS TN
37303-2509
US
IV. Provider business mailing address
PO BOX 131
ATHENS TN
37371-0131
US
V. Phone/Fax
- Phone: 205-381-6335
- Fax: 520-333-2835
- Phone: 423-462-1455
- Fax: 520-333-2835
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336M0002X |
| Taxonomy | Mail Order Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELINDA
K
METCALF
Title or Position: VICE PRESIDENT
Credential:
Phone: 423-462-1455