MEDICARE: THE BETTER BREATHING STORE 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	NOT REQUIRED IN MT	MT

General Provider Information

NPI Number	:	1164670089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BETTER BREATHING STORE LLC

Provider Business Mailing Address
First Line	:	PO BOX 2584
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-2584
Country	:	US
Telephone Number	:	406-892-2770
Fax Number	:	406-892-2774

Provider Business Practice Location Address
First Line	:	5035 HWY 2 WEST
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912
Country	:	US
Telephone Number	:	406-892-2770
Fax Number	:	406-892-2774

Authorized Official
Title or Position	:	CEO
Name	:	MS. LISA H GUINN
Credential	:	RCP
Telephone Number	:	406-892-2770

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	09/04/2008

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Directions to “THE BETTER BREATHING STORE LLC ” Practice Location

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