| Organization Name: | CLOUD CITY MEDICAL INC |
| NPI Number: | 1235202524 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN HIRSHEIMER (ADMINISTRATION) |
| Mailing Address: | 735 Highway 24 South Suite A Leadville |
| State: | CO US |
| Postal Code: | 80461 |
| Phone Number: | 7194862950 |
| Fax Number: | 7194862959 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 04/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 07-68873-0000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |