Provider Demographics
NPI:1003359704
Name:WESTPEAK MOBILITY LLC
Entity Type:Organization
Organization Name:WESTPEAK MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:719-210-8916
Mailing Address - Street 1:903 E FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6315
Mailing Address - Country:US
Mailing Address - Phone:719-299-2167
Mailing Address - Fax:719-465-2895
Practice Address - Street 1:903 E FILLMORE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6315
Practice Address - Country:US
Practice Address - Phone:719-210-8916
Practice Address - Fax:719-465-2895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1003359704Medicaid