Organization
MEDICAL EQUIPMENT OF CENTERBROOK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY COLVIN (PRESIDENT)
(860) 767-2028
Entity
Organization
Contact information
Practice address
33 MAIN ST, CENTERBROOK, CT 06409
(860) 767-2028
(860) 767-2893
Mailing address
PO BOX 206, CENTERBROOK, CT 06409-0206
(860) 767-2028
(860) 767-2893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0866CT01
ANTHEM BCBS
CT
Enumeration date
02/09/2007
Last updated
09/11/2025
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