Provider Demographics
NPI:1174898969
Name:COLORADO MEDICAL MOBILITY
Entity type:Organization
Organization Name:COLORADO MEDICAL MOBILITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-882-1075
Mailing Address - Street 1:7302 S ALTON WAY STE D
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2313
Mailing Address - Country:US
Mailing Address - Phone:303-459-6990
Mailing Address - Fax:303-900-1455
Practice Address - Street 1:6160 MASSIVE PEAK LOOP
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-9488
Practice Address - Country:US
Practice Address - Phone:303-459-6990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies