SOURCE 1 NPI 1609109776

NPI Information

NPI: 1609109776
Provider Name: SOURCE 1

Doing Business As: FLATIRONS SPORTS MEDICINE OR SOURCE 1- DME

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3012 MICA CT
SUPERIOR, CO
ZIP 80027
Phone: (303) 554-6699
Get Directions

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	4274647	COLORADO	Yes

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

NPI Synchronization or Removal

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