Organization
BREATHE OXYGEN SUPPLY, INC.
Active
Other names
Breathe Oxygen & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD C DAVIS (DIRECTOR)
(785) 272-0445
Entity
Organization
Contact information
Practice address
5967 SW 29TH ST, SUITE 260, TOPEKA, KS 66614-2537
(785) 272-0445
(785) 272-0227
Mailing address
6530 SE FORBES AVE, TOPEKA, KS 66619-1446
(785) 272-0445
(785) 272-0227
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445520A
—
KS
01
—
118099
BCBS PROVIDER NUMBER
KS
Enumeration date
10/03/2006
Last updated
02/16/2017
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