Colorado State Infusion Inc

LBN: Colorado State Infusion, Inc.
Colorado State Infusion Inc is an health care organization with primary practice located at 1401 N 1St St , Grand Junction CO 81501-2115. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Colorado State Infusion, Inc. can be contacted via phone (970) 243-3411, or through Brayton, Joe via phone (972) 588-1050.

Contact Information

Primary practice address
1401 N 1St St Grand Junction CO 81501-2115
Phone: (970) 243-3411
Fax: (970) 243-3364
Website:
Map and Directions
Authorized official contact:
Name: Brayton, Joe
Phone: (972) 588-1050

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PDO.0530000052 Colorado
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1689714495
LBN Legal business name Colorado State Infusion, Inc.
DBA Doing business as Colorado State Infusion Inc
Authorized official Brayton, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 3rd, 2020 - about 4 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 1689714495 NPPES
Other 2003295 PK
Other PDO.0530000052 PK
MEDICAID 84152877 PK

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