Provider Demographics
NPI:1306047667
Name:A-1 COLORADO MEDICAL SUPPLY AND OXYGEN LLC
Entity type:Organization
Organization Name:A-1 COLORADO MEDICAL SUPPLY AND OXYGEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:CRISANTO
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-261-9488
Mailing Address - Street 1:390 WALNUT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-1755
Mailing Address - Country:US
Mailing Address - Phone:720-685-9100
Mailing Address - Fax:720-685-9118
Practice Address - Street 1:390 WALNUT ST STE 110
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1755
Practice Address - Country:US
Practice Address - Phone:720-685-9100
Practice Address - Fax:720-685-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies