SOURCE 1 NPI 1609109776

NPI Information

  • NPI: 1609109776
  • Provider Name: SOURCE 1
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: FLATIRONS SPORTS MEDICINE OR SOURCE 1- DME
  • Address: 3012 MICA CT
    SUPERIOR, CO
    ZIP 80027
  • Phone: (303) 554-6699

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NPI Details

SOURCE 1 is a customized equipment durable medical equipment medical supplies in Superior, CO. SOURCE 1 NPI is 1609109776. The provider is registered as an organization entity type.
The provider Is Doing Business As Flatirons Sports Medicine Or Source 1- Dme.

The provider's business location address is:

3012 MICA CT
SUPERIOR, CO
ZIP 80027-548
Phone: (303) 554-6699
Fax: (303) 554-6700

The provider's authorized official is Tracy John Fox .
The authorized official title is Owner and has the following contact phone number (303) 324-7674.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 9/14/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment4274647COLORADOYes

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: 11/21/2025

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