Organization
MOUNTAIN RESPIRATORY SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L JONES (SECRETARY TREASURER)
(828) 693-3745
Entity
Organization
Contact information
Practice address
903 FLEMING ST, HENDERSONVILLE, NC 28791-3529
(828) 693-3745
(828) 693-9644
Mailing address
903 FLEMING ST, HENDERSONVILLE, NC 28791-3529
(828) 693-3745
(828) 693-9644
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380V
BLUE CROSS BLUE SHIELD NC
NC
05
—
7700257
—
NC
Enumeration date
11/29/2006
Last updated
02/26/2009
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