Provider Type Icon

MEDCO PROFESSIONAL SERVICES CORP NPI 1710967690


NPI Information

NPI: 1710967690
Provider Name: MEDCO PROFESSIONAL SERVICES CORP

Doing Business As: MEDCO PROFESSIONAL SERVICES, CORP.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
401 E MAIN ST
TRINIDAD, CO
ZIP 81082
Phone: (719) 846-8328
Get Directions

MEDCO PROFESSIONAL SERVICES CORP is a durable medical equipment medical supplies in Trinidad, CO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDCO PROFESSIONAL SERVICES CORP NPI is 1710967690. The provider is registered as an organization entity type.
The provider Is Doing Business As Medco Professional Services, Corp..

The provider's business location address is:

401 E MAIN ST
TRINIDAD, CO
ZIP 81082-714
Phone: (719) 846-8328
Fax: (719) 846-8278

The provider's authorized official is Robin L Menchen .
The authorized official title is Chief Operating Officer and has the following contact phone number (407) 822-4600.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 3/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4335E00000XProsthetic/Orthotic SupplierNo
5332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000A8066MEDICAIDNEW MEXICO
208012072MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.