Healthcare Provider Details

I. General information

NPI: 1558751420
Provider Name (Legal Business Name): BWT/RMIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 KALAMATH ST.
DENVER CO
80223
US

IV. Provider business mailing address

131 KALAMATH ST.
DENVER CO
80223
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-8887
  • Fax: 303-399-3394
Mailing address:
  • Phone: 303-388-8887
  • Fax: 303-399-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE E. BENTLEY
Title or Position: GENERAL MANAGER
Credential:
Phone: 303-522-6070