Provider Demographics
NPI:1598892093
Name:RESPIRATORY & MEDICAL SERVICES,INC.
Entity type:Organization
Organization Name:RESPIRATORY & MEDICAL SERVICES,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:907-345-7969
Mailing Address - Street 1:PO BOX 110963
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99511-0963
Mailing Address - Country:US
Mailing Address - Phone:907-345-7969
Mailing Address - Fax:907-345-2969
Practice Address - Street 1:5401 N STAR ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1045
Practice Address - Country:US
Practice Address - Phone:907-345-7969
Practice Address - Fax:907-345-2969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK165083332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMS9041Medicaid