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PVHS HOME MEDICAL SUPPLY LLC NPI 1720064876


NPI Information

NPI: 1720064876
Provider Name: PVHS HOME MEDICAL SUPPLY LLC

Doing Business As: MAJOR MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1420 RIVERSIDE AVE STE 108
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-6616
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PVHS HOME MEDICAL SUPPLY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Fort Collins, CO. PVHS HOME MEDICAL SUPPLY LLC NPI is 1720064876. The provider is registered as an organization entity type.
The provider Is Doing Business As Major Medical.

The provider's business location address is:

1420 RIVERSIDE AVE STE 108
FORT COLLINS, CO
ZIP 80524-380
Phone: (970) 484-6616
Fax: (970) 224-2883

The provider's authorized official is Stephen Griggs .
The authorized official title is Ceo / President and has the following contact phone number (407) 206-0040.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 11/14/2019.


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 SuppliesNo
2332BX2000XDurable 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
120421061MEDICAIDCOLORADO

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

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