# CLOUD CITY MEDICAL

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

## Provider details

- **NPI number:** 1912941253
- **Authorized official:** KAREN HIRSHEIMER (ADMINISTTRATION)
- **Authorized official phone:** (719) 486-2950

## Contact information

- **Practice address:** 735 US HIGHWAY 24, LEADVILLE, CO 80461-3952
- **Practice address phone:** (719) 486-2950
- **Practice address fax:** (719) 486-2959
- **Mailing address:** 735 US HIGHWAY 24, LEADVILLE, CO 80461-3952
- **Mailing address phone:** (719) 486-2950
- **Mailing address fax:** (719) 486-2959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 07688730000 | CO | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020