Organization
BRADEN PARTNERS LP
Active
Other names
Pacific Pulmonary Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L THOMAS (CHIEF EXECUTIVE OFFICER)
(415) 893-1518
Entity
Organization
Contact information
Practice address
868 HIGHWAY 15 S, JACKSON, KY 41339-9602
(606) 666-8310
(606) 666-8312
Mailing address
8730 HARRIS RD, UNIT 204, BAKERSFIELD, CA 93311-8990
(661) 396-3720
(661) 832-6009
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316177546
—
KY
05
—
7100088790
—
KY
Enumeration date
07/22/2009
Last updated
08/26/2013
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