Healthcare Provider Details

I. General information

NPI: 1932746187
Provider Name (Legal Business Name): WORLDWIDE MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2019
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10890 E DARTMOUTH AVE STE H
DENVER CO
80014-4857
US

IV. Provider business mailing address

10890 E DARTMOUTH AVE STE HI
DENVER CO
80014-4845
US

V. Phone/Fax

Practice location:
  • Phone: 303-815-6285
  • Fax: 303-751-9171
Mailing address:
  • Phone: 303-815-6285
  • Fax: 303-751-9171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: RIMA KIRISHYAN
Title or Position: SUPPORT
Credential:
Phone: 33-815-6285