MEDICARE: GRIFFITH MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	41871500000	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104958800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIFFITH MEDICAL

Provider Business Mailing Address
First Line	:	720 16TH ST
Second Line	:	# 504
City	:	DENVER
State	:	CO
Zip	:	80202-3243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 16TH ST
Second Line	:	# 504
City	:	DENVER
State	:	CO
Zip	:	80202-3243
Country	:	US
Telephone Number	:	303-378-1604
Fax Number	:

Authorized Official
Title or Position	:	DRIECTOR
Name	:	MR. MICHAEL GRIFFITH
Credential	:
Telephone Number	:	303-378-1604

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	08/22/2020

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Directions to “GRIFFITH MEDICAL ” Practice Location

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