MEDICARE: ADVANCED RESPIRATORY, 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558755371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED RESPIRATORY, INC.

Provider Business Mailing Address
First Line	:	1020 COUNTY ROAD F W
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55126-2910
Country	:	US
Telephone Number	:	800-426-4224
Fax Number	:	800-870-8452

Provider Business Practice Location Address
First Line	:	5959 SHALLOWFORD RD STE 333
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2227
Country	:	US
Telephone Number	:	423-825-4054
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, FLC
Name	:	MS. JULIE FOSTER
Credential	:
Telephone Number	:	800-426-4224

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	02/05/2026

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