MEDICARE: TOTAL 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	53625441714	UT

General Provider Information

NPI Number	:	1376508291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL RESPIRATORY CARE INC

Provider Business Mailing Address
First Line	:	1593 W 2350 S
Second Line	:	SUITE C
City	:	WOODS CROSS
State	:	UT
Zip	:	84087-2399
Country	:	US
Telephone Number	:	801-298-8831
Fax Number	:	801-298-2549

Provider Business Practice Location Address
First Line	:	1593 W 2350 S
Second Line	:	SUITE C
City	:	WOODS CROSS
State	:	UT
Zip	:	84087-2399
Country	:	US
Telephone Number	:	801-298-8831
Fax Number	:	801-298-2549

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. KORY S YOUNG
Credential	:
Telephone Number	:	801-298-8831

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/12/2013

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