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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURCE 1

Active Organization

SOURCE 1 is a Customized Equipment (DME) organization located in SUPERIOR, Colorado. NPI 1609109776 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · SUPERIOR, CO

Registration Details

NPI Number
1609109776
Provider Type
Organization
NPI Issued
Sep 8, 2009 (16.959718436667 yrs)
Last Updated
Sep 14, 2009
License
4274647 (CO)

Practice Information

Address
3012 MICA CT
SUPERIOR, CO, 800274548
Browse CO providers · Browse ZIP 80027
Phone
3035546699
Fax
3035546700
Primary Specialty
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.