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Advanced Respiratory, Inc.

Branch

Details

Name: Advanced Respiratory, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 11 Mar 1982 (43 years ago) (Companies founded in March 1982)
Entity Number: 000-298-087
Register Number: 000298087
Branch of: Advanced Respiratory, Inc. (Company Number 2501638f-b3d4-e011-a886-001ec94ffe7f) (Minnesota)
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Minnesota
Principal Address: 1020 WEST COUNTY ROAD FST PAUL, MN 55126
Principal Mailing Address: 1069 STATE ROUTE 46EBATESVILLE, IN 47006
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184021594 2014-12-01 2023-05-25 1020 COUNTY ROAD F W, SAINT PAUL, MN, 551262910, US 26400 POLLARD RD UNIT B, DAPHNE, AL, 365264273, US

Contacts

Phone +1 800-426-4224
Fax 6517662797
Phone +1 251-625-3816
Fax 2516253665

Authorized person

Name MR. JAMES M. O'CONNELL
Role PRESIDENT FRONT LINE CARE (FLC)
Phone 2032570042

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 009506710
State AL
Issuer MEDICAID
Number 164814
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State