Provider Demographics
NPI:1073522496
Name:DENVER BIOMEDICAL, INC.
Entity Type:Organization
Organization Name:DENVER BIOMEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP-MARKETING
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DESOUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-578-4858
Mailing Address - Street 1:14998 W 6TH AVE
Mailing Address - Street 2:E-600
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6587
Mailing Address - Country:US
Mailing Address - Phone:800-824-8454
Mailing Address - Fax:303-279-7575
Practice Address - Street 1:14998 W 6TH AVE
Practice Address - Street 2:E-600
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6587
Practice Address - Country:US
Practice Address - Phone:800-824-8454
Practice Address - Fax:303-279-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
3975190001Medicare ID - Type Unspecified
65453Medicare ID - Type Unspecified