Organization Name: | ASHLEY MEDICAL AND RESPIRATORY |
NPI Number: | 1033214465 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES KELLY (CEO) |
Mailing Address: | 112 Pine St Crossett |
State: | AR US |
Postal Code: | 716352906 |
Phone Number: | 8703641644 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | MG00517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |