Four Corners Medical Supply

LBN: Four Corners Medical Supply
Four Corners Medical Supply is an health care organization with primary practice located at 1108 N Mildred Rd , Cortez CO 81321. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Four Corners Medical Supply can be contacted via phone (970) 565-4200, or through Loibl, Tamie J via phone (970) 565-4200.

Contact Information

Primary practice address
1108 N Mildred Rd Cortez CO 81321
Phone: (970) 565-4200
Fax: (970) 565-2786
Website:
Map and Directions
Authorized official contact:
Name: Loibl, Tamie J
Phone: (970) 565-4200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1689609711
LBN Legal business name Four Corners Medical Supply
DBA Doing business as
Authorized official Loibl, Tamie J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689609711 NPPES
Colorado MEDICAID 08012379

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