Provider Demographics
NPI:1457327355
Name:COLORADO O2 SERVICES, LLC
Entity Type:Organization
Organization Name:COLORADO O2 SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:OELKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-237-4644
Mailing Address - Street 1:1841 WADSWORTH BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5225
Mailing Address - Country:US
Mailing Address - Phone:303-237-4644
Mailing Address - Fax:720-221-0539
Practice Address - Street 1:1841 WADSWORTH BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214
Practice Address - Country:US
Practice Address - Phone:303-237-4644
Practice Address - Fax:720-221-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90687050Medicaid
CO5409290001Medicare NSC
CO5409290001Medicare ID - Type Unspecified