1750306668 NPI number — RESPIRONICS COLORADO, INC

Table of content: (NPI 1750306668)

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".




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