COLORADO PROFESSIONAL MEDICAL INC NPI 1790857803

NPI Information

NPI: 1790857803
Provider Name: COLORADO PROFESSIONAL MEDICAL, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1140 W SOUTH BOULDER RD STE 101
LAFAYETTE, CO
ZIP 80026
Phone: (303) 604-0682
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COLORADO PROFESSIONAL MEDICAL, INC is a customized equipment durable medical equipment medical supplies in Lafayette, CO. COLORADO PROFESSIONAL MEDICAL, INC NPI is 1790857803. The provider is registered as an organization entity type.

The provider's business location address is:

1140 W SOUTH BOULDER RD STE 101
LAFAYETTE, CO
ZIP 80026-910
Phone: (303) 604-0682
Fax: (303) 604-0684

The provider's authorized official is Sheryl S Price .
The authorized official title is Director Of Reimbursement and has the following contact phone number (503) 493-8288.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 2/9/2011.

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	335E00000X	Prosthetic/Orthotic Supplier				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	PENDING	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	57472335	MEDICAID	COLORADO
2	124022601	MEDICAID	WYOMING
3	0316610005	MEDICARE NSC

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: 5/5/2024

NPI Synchronization or Removal

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