Organization
MEDIQUIP SUPPLIES AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE MARIE CLENNIN (OWNER)
(970) 243-9977
Entity
Organization
Contact information
Practice address
576 NORTHGATE DR, UNIT B, GRAND JUNCTION, CO 81505-6906
(970) 243-9977
(970) 254-0162
Mailing address
576 NORTHGATE DR., UNIT B, GRAND JUNCTION, CO 81505
(970) 243-9977
(970) 254-0162
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46284257
—
CO
Enumeration date
06/13/2006
Last updated
07/21/2022
About Stedi
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