institution
Source 1
Customized Equipment (DME) in Wheat Ridge, Colorado
NPI 1821321860

Source 1 is a Customized Equipment (DME) based in Superior, CO and is specialized in Customized Equipment. Source 1 practices in Wheat Ridge, CO. The NPI Number for Source 1 is 1821321860 and holds a License No. 4274647 (Colorado).

The current practice location address for Source 1 is 3550 Luthern Parkway, Wheat Ridge, CO and can be reached out via phone at 303-456-6051 and via fax at 303-456-6052.

Location: 3550 Luthern Parkway, Wheat Ridge, CO, 80027-4548
institution
Provider Profile Details
NPI Number
1821321860
Provider Name
Source 1
Credential
Provider Entity Type
Organization
Address
3550 Luthern Parkway, Wheat Ridge, CO, 80027-4548
Phone Number
303-456-6051
Fax Number
303-456-6052
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
tick
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
3550 Luthern Parkway
City
State
Zip
80033
Phone Number
303-456-6051
Fax Number
303-456-6052
person
Provider Business Mailing Address Details
Address
3550 Luthern Parkway
City
State
Zip
80033
Phone Number
303-456-6051
Fax Number
303-456-6052
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
4274647 (Colorado)
Definition
Definition to come...
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