Organization
BLUE RIDGE RESPIRATORY AND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GILMAN (ADMINISTRATOR)
(434) 316-9112
Entity
Organization
Contact information
Practice address
2225 LANGHORNE RD, LYNCHBURG, VA 24501-1107
(434) 316-9115
(434) 455-7166
Mailing address
2225 LANGHORNE RD, LYNCHBURG, VA 24501-1107
(434) 316-9115
(434) 455-7166
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
S2012724
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10404720
—
VA
Enumeration date
10/06/2006
Last updated
04/20/2012
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