MEDICARE: TOBY CHURCHILL LIMITED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245505460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOBY CHURCHILL LIMITED

Provider Business Mailing Address
First Line	:	13659 E 104TH AVE
Second Line	:	SUITE 800
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9402
Country	:	US
Telephone Number	:	720-389-7867
Fax Number	:

Provider Business Practice Location Address
First Line	:	13659 E 104TH AVE
Second Line	:	SUITE 800
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-9402
Country	:	US
Telephone Number	:	720-389-7867
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID COLLISON
Credential	:
Telephone Number	:	720-389-7867

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

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