Provider Demographics
NPI:1386745396
Name:ALPINAIRE HEALTHCARE, INC
Entity type:Organization
Organization Name:ALPINAIRE HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PENEGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-453-8423
Mailing Address - Street 1:PO BOX 2937
Mailing Address - Street 2:1915 AIRPORT RD STE 101
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-2937
Mailing Address - Country:US
Mailing Address - Phone:970-453-8423
Mailing Address - Fax:970-453-8417
Practice Address - Street 1:1915 AIRPORT RD
Practice Address - Street 2:STE 101
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424
Practice Address - Country:US
Practice Address - Phone:970-453-8423
Practice Address - Fax:970-453-8417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09407367Medicaid
CO4721230001Medicare NSC