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Source 1
Customized Equipment (DME) in Louisville, Colorado
NPI 1578896502

Source 1 is a Customized Equipment (DME) based in Superior, CO and is specialized in Customized Equipment. Source 1 practices in Louisville, CO. The NPI Number for Source 1 is 1578896502 and holds a License No. 4274647 (Colorado).

The current practice location address for Source 1 is 80 Health Park Dr Ste 250, Louisville, CO and can be reached out via phone at 303-665-9773 and via fax at 303-665-9774.

Location: 80 Health Park Dr Ste 250, Louisville, CO, 80027-4548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578896502
Provider Name
Source 1
Credential
Provider Entity Type
Organization
Address
80 Health Park Dr Ste 250, Louisville, CO, 80027-4548
Phone Number
303-665-9773
Fax Number
303-665-9774
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609109776 01 CO MAIN BUSINESS LOCATION NPI FOR SOURCE 1
institution
Provider Business Practice Location Address Details
Address
80 Health Park Dr Ste 250
City
Louisville
State
Colorado
Zip
80027-4645
Phone Number
303-665-9773
Fax Number
303-665-9774
person
Provider Business Mailing Address Details
Address
80 Health Park Dr Ste 250
City
Louisville
State
Colorado
Zip
80027-4645
Phone Number
303-665-9773
Fax Number
303-665-9774
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
4274647 (Colorado)
Definition
Definition to come...
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