Organization
PULMACARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID COOPER (PRESIDENT)
(423) 317-3375
Entity
Organization
Contact information
Practice address
1065 COSBY HWY, NEWPORT, TN 37821-7381
(423) 613-8722
(423) 613-8720
Mailing address
PO BOX 1279, MORRISTOWN, TN 37816-1279
(423) 613-8722
(423) 613-8720
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455173
—
TN
01
—
4166870
BCBS TN
TN
Enumeration date
08/03/2006
Last updated
08/04/2008
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