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NPI Code Detail

MEDICARE: TWIN RIVERS RESPIRATORY CARE, INC.

MEDICARE: TWIN RIVERS RESPIRATORY CARE, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BX2000XOxygen Equipment & Supplies (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
249878OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1073554374
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN RIVERS RESPIRATORY CARE, INC.
Provider Business Mailing Address
First Line : 555 E NORTH LN STE 5075
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-2490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7325 MEESHOW DR STE I
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-5258
Country : US
Telephone Number : 479-872-8899
Fax Number : 479-872-8811
Authorized Official
Title or Position : CCO
Name : WENDY RUSSALESI
Credential :
Telephone Number : 484-246-9499
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/13/2025

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Directions to “TWIN RIVERS RESPIRATORY CARE, INC. ” Practice Location

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