Organization Name: | EXTREME MOBILITY MEDICAL SUPPLY, INC. |
NPI Number: | 1134298649 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL VANHART (PRESIDENT) |
Mailing Address: | 7858 N Academy Blvd Colorado Springs |
State: | CO US |
Postal Code: | 809203920 |
Phone Number: | 7192655225 |
Fax Number: | 7192656065 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 20061344781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |