Organization Active NPI

Kilgore Respiratory Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Mexico, MO
National Provider Identifier
1861878613
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KILGORE RESPIRATORY SERVICES INC
Practice address
626 E Summit St
Suite a
Mexico, MO 65265-3298
Phone
(573) 567-7999
Fax
(573) 567-7045
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Mr. Fred Bietsch
Title
Vice President
Phone
(573) 442-8338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MO Primary
Oxygen Equipment & Supplies (DME) 332BX2000X MO

Addresses

Primary practice location

626 E Summit St
Suite a
Mexico, MO 65265-3298

Mailing address

1815 Chapel Hill Rd Ste 210
Columbia, MO 65203-5420
Phone (573) 442-8338

National Provider Directory

National Provider Directory

Locations

1815 Chapel Hill Rd
Ste 210
Columbia, MO 65203
Phone (573) 442-8338

626 E Summit St
Ste A
Mexico, MO 65265
Phone (573) 567-7999

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1861878613",
    "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": "626 E SUMMIT ST",
            "address_2": "SUITE A",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-567-7999",
            "fax_number": "573-567-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE RESPIRATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BIETSCH",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "573-442-8338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.