Provider Demographics
NPI:1407924962
Name:ANEX MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:ANEX MEDICAL SERVICES LLC
Other - Org Name:ANEX MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-366-3900
Mailing Address - Street 1:11275 E MISSISSIPPI AVE
Mailing Address - Street 2:SUITE #1-N-4
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3263
Mailing Address - Country:US
Mailing Address - Phone:303-366-3900
Mailing Address - Fax:303-366-3910
Practice Address - Street 1:11275 E MISSISSIPPI AVE
Practice Address - Street 2:SUITE #1-N-4
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3263
Practice Address - Country:US
Practice Address - Phone:303-366-3900
Practice Address - Fax:303-366-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42-43204-0000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5823250001Medicare NSC