Kilgore Respiratory Services Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KILGORE RESPIRATORY SERVICES INC

Practice address

1815 Chapel Hill Rd Ste 210
Columbia, MO 65203-5420

Phone

(573) 442-8338

Fax

(573) 446-5008

NPI assigned

Oct 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelly Ann Bietsch, RRT

Title

President

Phone

(573) 424-0202

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kilgore Respiratory Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Jefferson City, MO
  • NPI 1427443639

  5597961052

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Kilgore Respiratory Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kilgore Respiratory Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Jefferson City, MO
  • NPI 1427443639
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1477741114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CHAPEL HILL RD STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035420",
            "telephone_number": "573-442-8338",
            "fax_number": "573-446-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CHAPEL HILL RD STE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035420",
            "telephone_number": "573-442-8338",
            "fax_number": "573-446-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE RESPIRATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BIETSCH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-424-0202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626359806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kilgore Inc
• Kilgore Inc
• Kilgore Inc
• Kilgore Inc
• Kilgore Inc
• Mattaline Piper Killingsworth
• Brianna Kim, OTR/L
• Jieon Jenny Kim
• Jong-in Kim, PHARMD
• Anne Kimberling, RDN, LD

• Oxygen Equipment & Supplies (DME) in Columbia, MO
• Providers in Columbia, MO by specialty
• Oxygen Equipment & Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.