Organization
COPPER SUN ENTERPRISES, INC
Active
Other names
Copper Sun Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PAUL LAZARIN (CEO)
(928) 425-8540
Entity
Organization
Contact information
Practice address
157 W CEDAR ST, GLOBE, AZ 85501-2509
(928) 425-8540
(866) 679-2291
Mailing address
PO BOX 1783, CLAYPOOL, AZ 85532-1783
(928) 425-8540
(866) 679-2291
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
11022216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11022216
AZ DEPT OF REVENUE TPT
AZ
01
—
AZ0274230
BCBS
AZ
Enumeration date
11/23/2005
Last updated
10/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us