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MOUNTAIN AIRE MEDICAL SUPPLY INC NPI 1114035474


NPI Information

NPI: 1114035474
Provider Name: MOUNTAIN AIRE MEDICAL SUPPLY INC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2490 PATTERSON RD
SUITE 5
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 244-8983
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MOUNTAIN AIRE MEDICAL SUPPLY INC is an oxygen equipment and supplies durable medical equipment medical supplies in Grand Junction, CO. MOUNTAIN AIRE MEDICAL SUPPLY INC NPI is 1114035474. The provider is registered as an organization entity type.

The provider's business location address is:

2490 PATTERSON RD
SUITE 5
GRAND JUNCTION, CO
ZIP 81505-112
Phone: (970) 244-8983
Fax: (970) 244-8986

The provider's authorized official is Lisa L Bickley .
The authorized official title is President and has the following contact phone number (970) 244-8983.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 10/28/2015.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & 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
10589530001MEDICARE NSCCOLORADO
208002131MEDICAIDCOLORADO

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: 4/28/2024

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