Organization
PROFESSIONAL RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CRUMP (OWNER)
(423) 614-0297
Entity
Organization
Contact information
Practice address
2180 STEIN DR, SUITE 106, CHATTANOOGA, TN 37421-7219
(423) 954-8901
Mailing address
2180 STEIN DR, SUITE 106, CHATTANOOGA, TN 37421-7219
(423) 954-8901
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000001821
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230429
HEALTHSPRING
TN
05
—
1454665
—
TN
01
—
4086281
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/28/2006
Last updated
06/30/2011
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