Healthcare Provider Details

I. General information

NPI: 1386948776
Provider Name (Legal Business Name): TOTAL RESPIRATORY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2010
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 S DIXIE DR SUITE H-111
ST. GEORGE UT
84770-7330
US

IV. Provider business mailing address

1395 N 400 E SUITE A
LOGAN UT
84341-7562
US

V. Phone/Fax

Practice location:
  • Phone: 435-688-2089
  • Fax: 435-688-9034
Mailing address:
  • Phone: 801-298-8831
  • Fax: 801-298-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. KORY S YOUNG
Title or Position: GENERAL MANAGER / OWNER
Credential:
Phone: 801-298-8831