# CLOUD CITY MEDICAL INC

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

## Provider details

- **NPI number:** 1235202524
- **Authorized official:** MR. LONNIE B DORCEY (PRESIDENT)
- **Authorized official phone:** (205) 566-1674

## Contact information

- **Practice address:** 331 US HWY 24 SOUTH, LEADVILLE, CO 80461
- **Practice address phone:** (719) 486-2950
- **Practice address fax:** (719) 486-2959
- **Mailing address:** PO BOX 550309, BIRMINGHAM, AL 35255-0309
- **Mailing address phone:** (205) 566-1674
- **Mailing address fax:** (205) 278-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 07-68873-0000 | CO | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 12/15/2021