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NPI Code Detail

MEDICARE: NORTHWEST RESPIRATORY SERVICES, LLC

MEDICARE: NORTHWEST RESPIRATORY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1063229011
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST RESPIRATORY SERVICES, LLC
Provider Business Mailing Address
First Line : 1243 EAGAN INDUSTRIAL RD
Second Line :
City : EAGAN
State : MN
Zip : 55121-1232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3440 KIMBALL CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-1051
Country : US
Telephone Number : 800-232-0706
Fax Number :
Authorized Official
Title or Position : SENIOR BUSINESS DEVELOPMENT CONSULT
Name : CHRIS J LARSON
Credential :
Telephone Number : 651-603-8720
Provider Enumeration Date : 12/13/2024
Last Update Date : 12/13/2024

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Directions to “NORTHWEST RESPIRATORY SERVICES, LLC ” Practice Location

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