Provider Demographics
NPI:1114006186
Name:ZOE MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ZOE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON AIDOO
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:720-859-2017
Mailing Address - Street 1:14201 E 4TH AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8901
Mailing Address - Country:US
Mailing Address - Phone:720-859-2017
Mailing Address - Fax:720-859-1500
Practice Address - Street 1:14201 E 4TH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8901
Practice Address - Country:US
Practice Address - Phone:720-859-2017
Practice Address - Fax:720-859-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57635234Medicaid
CO57635234Medicaid