Healthcare Provider Details

I. General information

NPI: 1184334591
Provider Name (Legal Business Name): BSCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9540 E JEWELL AVE STE J2
DENVER CO
80247-5786
US

IV. Provider business mailing address

5255 W PHELPS RD STE 4
GLENDALE AZ
85306-1305
US

V. Phone/Fax

Practice location:
  • Phone: 866-696-9558
  • Fax:
Mailing address:
  • Phone: 866-696-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ANGEL
Title or Position: MANAGER
Credential:
Phone: 866-696-9558