Healthcare Provider Details

I. General information

NPI: 1568617025
Provider Name (Legal Business Name): ROCKY MOUNTAIN MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 E HAMPDEN AVE UNT# 103
DENVER CO
80231-4913
US

IV. Provider business mailing address

8810 E HAMPDEN AVE UNT# 103
DENVER CO
80231-4913
US

V. Phone/Fax

Practice location:
  • Phone: 303-691-2373
  • Fax: 303-691-2383
Mailing address:
  • Phone: 303-691-2373
  • Fax: 303-691-2383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateCO

VIII. Authorized Official

Name: MR. ARMAN K PISHKE
Title or Position: PRESIDENT
Credential:
Phone: 303-500-2442