MEDICARE: WESTEX CONSTRUCTION, INC.

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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1114447471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTEX CONSTRUCTION, INC.

Provider Business Mailing Address
First Line	:	PO BOX 17291
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-0291
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 GENOA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-6629
Country	:	US
Telephone Number	:	720-404-5324
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS TIFFANY WASHINGTON
Credential	:
Telephone Number	:	720-404-5324

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	06/27/2017

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Directions to “WESTEX CONSTRUCTION, INC. ” Practice Location

Language	Start Address	Practice Location

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