Organization
CLOUD CITY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE B DORCEY (PRESIDENT)
(205) 566-1674
Entity
Organization
Contact information
Practice address
331 US HWY 24 SOUTH, LEADVILLE, CO 80461
(719) 486-2950
(719) 486-2959
Mailing address
PO BOX 550309, BIRMINGHAM, AL 35255-0309
(205) 566-1674
(205) 278-6900
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07-68873-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96459743
—
CO
Enumeration date
11/16/2006
Last updated
12/15/2021
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