Organization
INDIANA SLEEP AND RESPIRATORY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY FORD (PRESIDENT & CEO)
(513) 403-6464
Entity
Organization
Contact information
Practice address
1428 10TH ST, SUITE 1A, COLUMBUS, IN 47201-5906
(812) 961-0153
(812) 961-0155
Mailing address
PO BOX 1507, MADISON, IN 47250-1507
(812) 961-0153
(812) 961-0155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69000502A
STATE HME LICENSE
—
Enumeration date
07/29/2009
Last updated
11/20/2012
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