1750306668 NPI number — RESPIRONICS COLORADO, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750306668 NPI number — RESPIRONICS COLORADO, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESPIRONICS COLORADO, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750306668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12301 GRANT ST
Provider Second Line Business Mailing Address:
UNIT 190
Provider Business Mailing Address City Name:
THORNTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80241-3138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
30-453-3400
Provider Business Mailing Address Fax Number:
303-453-3515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14101 ROSECRANS AVE
Provider Second Line Business Practice Location Address:
UNIT F
Provider Business Practice Location Address City Name:
LA MIRADA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90638-3550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-483-6805
Provider Business Practice Location Address Fax Number:
562-483-6788
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YATES
Authorized Official First Name:
WENDY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRIVACY AND COMPLIANCE LEADER
Authorized Official Telephone Number:
303-453-3414

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  21-757689 0005 CH , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DME01166G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com