NPI Code Details Logo

NPI 1487574877

NPI 1487574877 : WILLITS SPECIALTY ENTERPRISE : HOTCHKISS, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487574877
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WILLITS SPECIALTY ENTERPRISE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2026
-----------------------------------------------------
    Last Update Date     |    07/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14506 2800 RD 
-----------------------------------------------------
    City                 |    HOTCHKISS
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81419-7603
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    929-494-1034
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14506 2800 RD 
-----------------------------------------------------
    City                 |    HOTCHKISS
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81419-7603
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    929-494-1034
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     BARRY  WILLITS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    929-494-1034
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.