Active NPI
Kilgore Respiratory Services Inc
- Durable Medical Equipment & Medical Supplies
- Mexico, MO
National Provider Identifier
1861878613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.