Provider Demographics
NPI:1548250665
Name:PREMIER RESPIRATORY EQUIPMENT, INC
Entity type:Organization
Organization Name:PREMIER RESPIRATORY EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:O
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-542-0202
Mailing Address - Street 1:401 HUDSON DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-2881
Mailing Address - Country:US
Mailing Address - Phone:423-542-0202
Mailing Address - Fax:423-542-0206
Practice Address - Street 1:401 HUDSON DR
Practice Address - Street 2:SUITE 2
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2881
Practice Address - Country:US
Practice Address - Phone:423-542-0202
Practice Address - Fax:423-542-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5233290001Medicare ID - Type Unspecified