Organization
NORTHWEST RESPIRATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J LARSON (COO)
(651) 603-8720
Entity
Organization
Contact information
Practice address
1243 EAGAN INDUSTRIAL RD, EAGAN, MN 55121-1232
(651) 603-8720
(866) 296-7913
Mailing address
1243 EAGAN INDUSTRIAL RD, EAGAN, MN 55121-1232
(651) 603-8720
(866) 296-7913
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234328
—
IA
05
—
10025028700
—
NE
05
—
41611800
—
WI
05
—
51394
—
ND
05
—
861819400
—
MN
05
—
9166883
—
SD
05
—
PENDING
—
CO
Enumeration date
12/28/2005
Last updated
11/20/2023
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