Provider Demographics
NPI:1295825693
Name:HARTMAN BROTHERS INC
Entity Type:Organization
Organization Name:HARTMAN BROTHERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-240-9556
Mailing Address - Street 1:531 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3931
Mailing Address - Country:US
Mailing Address - Phone:970-240-9556
Mailing Address - Fax:970-240-0871
Practice Address - Street 1:1450 E 3RD ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2814
Practice Address - Country:US
Practice Address - Phone:970-874-2828
Practice Address - Fax:970-874-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO046727199OtherEEOICP
CO43738842Medicaid
CO86803OtherANTHEM BCBS FEP
CO046727199OtherEEOICP
CO=========001OtherROCKY MOUNTAIN HEALTH PLA