Respi-Care, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Moultrie, GA
NPI 1891979373 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1891979373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 20017139030 (GA)
- Legal business name
- RESPI-CARE, INC.
- Practice address
- 1934 S Main St
Moultrie, GA 31768-6524 - Phone
- (229) 985-2273
- Fax
- (229) 890-0776
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Patsy Louise Clark
- Title
- President/Owner
- Phone
- (229) 985-2273
Practitioners 1
National Provider Directory
Locations
1934 S Main St
Moultrie, GA 31768
Phone (229) 985-1424
1321 S Main St
Moultrie, GA 31768
Phone (229) 873-3259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 20017139030 | GA | Yes |
Addresses
Primary practice location
1934 S Main St
Moultrie, GA 31768-6524
Mailing address
1934 S Main St
Moultrie, GA 31768-6524
Phone (229) 985-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384182 | Other | GA | WELLCARE |
| 499144416A | Medicaid | GA |
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- Jordan Boyd Rentz
- Glenn Howard Ritchie
- Don Wayne Roberts
- Jacquelyn Elaine Roberts
- Jeffrey W Roberts
- Miranda Robinson Taylor
All providers in Moultrie, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.