Grand Mesa Medical Supply, Llc

LBN: Grand Mesa Medical Supply, Llc
Grand Mesa Medical Supply, Llc is an health care organization with primary practice located at 1708 North Ave , Grand Junction CO 81501-6423. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Grand Mesa Medical Supply, Llc can be contacted via phone (970) 241-0833, or through Johnson, Constance R via phone (970) 241-0833.

Contact Information

Primary practice address
1708 North Ave Grand Junction CO 81501-6423
Fax: (970) 241-2663
Website:
Authorized official contact:
Name: Johnson, Constance R

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1841294519
LBN Legal business name Grand Mesa Medical Supply, Llc
DBA Doing business as
Authorized official Johnson, Constance R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 24th, 2022 - about 2 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 1841294519 NPPES
Colorado MEDICAID 78024811

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