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NPI Code Detail

MEDICARE: COLUMBINE MEDICAL EQUIPMENT INC

MEDICARE: COLUMBINE MEDICAL EQUIPMENT 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
1332B00000XDurable Medical Equipment & Medical Supplies15130380000CO

Other Identifiers

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

General Provider Information

NPI Number : 1376698696
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBINE MEDICAL EQUIPMENT INC
Provider Business Mailing Address
First Line : 802 W DRAKE RD
Second Line : STE 123
City : FORT COLLINS
State : CO
Zip : 80526-5567
Country : US
Telephone Number : 970-221-1453
Fax Number : 970-490-2754
Provider Business Practice Location Address
First Line : 802 W DRAKE RD
Second Line : STE 123
City : FORT COLLINS
State : CO
Zip : 80526-5567
Country : US
Telephone Number : 970-221-1453
Fax Number : 970-490-2754
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : BARRY KENT FANCHER
Credential :
Telephone Number : 970-482-0198
Provider Enumeration Date : 01/25/2007
Last Update Date : 12/17/2008

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Directions to “COLUMBINE MEDICAL EQUIPMENT INC ” Practice Location

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