# MOUNTAIN AIRE MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114035474
- **Authorized official:** LISA L BICKLEY (PRESIDENT)
- **Authorized official phone:** (970) 244-8983

## Contact information

- **Practice address:** 2490 PATTERSON RD, SUITE 5, GRAND JUNCTION, CO 81505-1112
- **Practice address phone:** (970) 244-8983
- **Practice address fax:** (970) 244-8986
- **Mailing address:** 2490 PATTERSON RD, SUITE 5, GRAND JUNCTION, CO 81505-1112
- **Mailing address phone:** (970) 244-8983
- **Mailing address fax:** (970) 244-8986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 10/28/2015