Source 1 - Dme

LBN: Source 1
Source 1 - Dme is an health care organization with primary practice located at 1615 Foxtrail Dr Ste 190 , Loveland CO 80538-9087. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Source 1 can be contacted via phone (303) 952-0396, or through Fox, Tracy John via phone (303) 952-0396.

Contact Information

Primary practice address
1615 Foxtrail Dr Ste 190 Loveland CO 80538-9087
Phone: (303) 952-0396
Fax: (303) 595-5262
Website:
Map and Directions
Authorized official contact:
Name: Fox, Tracy John
Phone: (303) 952-0396

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 4274647 Colorado

Profile Details

NPI number 1063749265
LBN Legal business name Source 1
DBA Doing business as Source 1 - Dme
Authorized official Fox, Tracy John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2009
Last updated Nov 9th, 2009 - about 17 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 1063749265 NPPES
Colorado MEDICAID 38059525

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