MEDICARE: ALLPAPS RESPIRATORY SERVICES, 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
2	332BX2000X	Oxygen Equipment & Supplies (DME)

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

General Provider Information

NPI Number	:	1912901638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLPAPS RESPIRATORY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1955 MCCULLOCH BLVD N # 102
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5739
Country	:	US
Telephone Number	:	928-302-5133
Fax Number	:	928-302-5136

Provider Business Practice Location Address
First Line	:	1955 MCCULLOCH BLVD N # 102
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5739
Country	:	US
Telephone Number	:	928-302-5133
Fax Number	:	928-302-5136

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BILL E MALLOY
Credential	:	L.R.C.P.
Telephone Number	:	307-577-8796

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/20/2015

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