Organization
MEDSOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROHDE (OWNER/MANAGING PARTNER)
(309) 664-7930
Entity
Organization
Contact information
Practice address
75 PRINTERS PKWY STE 120, COLORADO SPRINGS, CO 80910-3109
(719) 375-3299
Mailing address
PO BOX 1248, BLOOMINGTON, IL 61702-1248
(888) 510-5100
(888) 510-5200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20176001145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20176001145
DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE
CO
Enumeration date
11/27/2017
Last updated
09/12/2025
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