=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053357905
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCED RESPIRATORY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2006
-----------------------------------------------------
Last Update Date | 09/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1020 COUNTY ROAD F W
-----------------------------------------------------
City | SAINT PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55126-2910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-426-4224
-----------------------------------------------------
Fax | 651-766-2797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1020 COUNTY ROAD F W
-----------------------------------------------------
City | SAINT PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55126-2910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-426-4224
-----------------------------------------------------
Fax | 651-766-2797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, FLC
-----------------------------------------------------
Name | JULIE FOSTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-426-4224
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------