Organization
COLUMBINE MEDICAL EQUIPMENT INC
Active
Other names
MARKET CENTRE MEDICAL EQUIPMENT & SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY KENT FANCHER (CHIEF FINANCIAL OFFICER)
(970) 482-0198
Entity
Organization
Contact information
Practice address
802 W DRAKE RD, STE 123, FORT COLLINS, CO 80526-5567
(970) 221-1453
(970) 490-2754
Mailing address
802 W DRAKE RD, STE 123, FORT COLLINS, CO 80526-5567
(970) 221-1453
(970) 490-2754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15130380000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08003634
—
CO
Enumeration date
01/25/2007
Last updated
12/17/2008
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