MEDICARE: AIR FLOW CO.

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		MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30465	OTHER	MT	BLUE CROSS BLUE SHEID

General Provider Information

NPI Number	:	1760605612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR FLOW CO.

Provider Business Mailing Address
First Line	:	210 S JACKSON ST
Second Line	:
City	:	PLENTYWOOD
State	:	MT
Zip	:	59254-2031
Country	:	US
Telephone Number	:	406-765-2534
Fax Number	:	406-765-1404

Provider Business Practice Location Address
First Line	:	210 S JACKSON ST
Second Line	:
City	:	PLENTYWOOD
State	:	MT
Zip	:	59254-2031
Country	:	US
Telephone Number	:	406-765-2534
Fax Number	:	406-765-1404

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LENORE J KANNING
Credential	:	RN
Telephone Number	:	406-765-2534

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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Directions to “AIR FLOW CO. ” Practice Location

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