Provider Demographics
NPI:1083850101
Name:COLORADO MEDICAL CONNECTIONS, LLC
Entity Type:Organization
Organization Name:COLORADO MEDICAL CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/BUSINESS ACCOUNTS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-217-8129
Mailing Address - Street 1:4332 RED ROCK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-8406
Mailing Address - Country:US
Mailing Address - Phone:720-217-8129
Mailing Address - Fax:303-681-3699
Practice Address - Street 1:4332 RED ROCK DR
Practice Address - Street 2:SUITE A
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-8406
Practice Address - Country:US
Practice Address - Phone:720-217-8129
Practice Address - Fax:303-681-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO118151332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies