Organization
CLOUD CITY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HIRSHEIMER (ADMINISTTRATION)
(719) 486-2950
Entity
Organization
Contact information
Practice address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3952
(719) 486-2950
(719) 486-2959
Mailing address
735 US HIGHWAY 24, LEADVILLE, CO 80461-3952
(719) 486-2950
(719) 486-2959
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07688730000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21588856
—
CO
Enumeration date
06/16/2006
Last updated
08/22/2020
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