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COLORADO MEDICAL PAIN MANAGEMENT CENTER NPI 1619906302


NPI Information

NPI: 1619906302
Provider Name: COLORADO MEDICAL PAIN MANAGEMENT CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5155 N. ACADEMY BLVD.
SUITE 201
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 314-0507
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COLORADO MEDICAL PAIN MANAGEMENT CENTER is a durable medical equipment medical supplies in Colorado Springs, 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. COLORADO MEDICAL PAIN MANAGEMENT CENTER NPI is 1619906302. The provider is registered as an organization entity type.

The provider's business location address is:

5155 N. ACADEMY BLVD.
SUITE 201
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 314-0507
Fax: (719) 465-1398

The provider's authorized official is John Louis Mantos .
The authorized official title is Ceo and has the following contact phone number (719) 314-0507.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 4/26/2012.


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
1332B00000XDurable 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
159883766MEDICAIDCOLORADO
25543530001MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

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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