Organization
GENESIS RESPIRATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CONN (VICE PRESIDENT)
(740) 456-4363
Entity
Organization
Contact information
Practice address
4132 GALLIA ST, NEW BOSTON, OH 45662-5511
(740) 354-4363
(740) 353-1938
Mailing address
4132 GALLIA ST, NEW BOSTON, OH 45662-5511
(740) 354-4363
(740) 353-1938
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER.22248
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMER.22248
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
HMER.22248
OH
333600000X
Pharmacy
02-1054600
OH
3336C0004X
Compounding Pharmacy
02-1054600
OH
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014709500
—
WV
05
—
0415296
—
OH
05
—
5400256300
—
KY
05
—
90254053
—
KY
Enumeration date
11/14/2006
Last updated
08/17/2021
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