Provider Demographics
NPI:1164882916
Name:ALL MEDICAL INC OF COLORADO
Entity Type:Organization
Organization Name:ALL MEDICAL INC OF COLORADO
Other - Org Name:ALL MEDICAL INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-374-7351
Mailing Address - Street 1:12445 E 39TH AVE
Mailing Address - Street 2:100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-3462
Mailing Address - Country:US
Mailing Address - Phone:720-374-7351
Mailing Address - Fax:303-574-3325
Practice Address - Street 1:12445 E 39TH AVE
Practice Address - Street 2:100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3462
Practice Address - Country:US
Practice Address - Phone:720-374-7351
Practice Address - Fax:303-574-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20156000208332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment