Cedar Mountain Respiratory, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CEDAR MOUNTAIN RESPIRATORY, INC.

Practice address

77 W Commerce Dr
Hayden, ID 83835-9221

Phone

(208) 762-4480

Fax

(208) 762-4462

NPI assigned

Mar 23, 2007

Organization subpart

No

Name

Mr. Kelly Greene, CRT

Title

Ceo

Phone

(208) 762-4480

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043337256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W COMMERCE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359221",
            "telephone_number": "208-762-4480",
            "fax_number": "208-762-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W COMMERCE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359221",
            "telephone_number": "208-762-4480",
            "fax_number": "208-762-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MOUNTAIN RESPIRATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-762-4480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Physician'S Medical Clinic
• Selah Joy Carr, LMT
• Brian Carroll
• Jocelyn Casper, BCBA
• John B Casper, M.D.
• Center for Excellence, P.C.
• Vicki Chandler, PHARMD
• Rachael Chappell, LCSW, ED.S
• Dawn Charbonneau, L.M.T.
• Jeremy Alan Chatfield, D.D.S.

• All providers in Hayden, ID
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.