MEDICARE: MOUNTAINS MEDICAL SOLUTIONS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1821800426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAINS MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6825 E TENNESSEE AVE STE 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1629
Country	:	US
Telephone Number	:	720-473-7806
Fax Number	:

Provider Business Practice Location Address
First Line	:	6825 E TENNESSEE AVE STE 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1629
Country	:	US
Telephone Number	:	720-473-7806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTIANA PANTELIDES
Credential	:
Telephone Number	:	720-473-7806

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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