Provider Demographics
NPI:1619318763
Name:COLMAN EQUIPMENT CO., INC
Entity Type:Organization
Organization Name:COLMAN EQUIPMENT CO., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VPRES
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:PHYLLIS
Authorized Official - Last Name:/COLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-234-3500
Mailing Address - Street 1:901 N FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1640
Mailing Address - Country:US
Mailing Address - Phone:307-234-3500
Mailing Address - Fax:307-235-5723
Practice Address - Street 1:901 N FOSTER RD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1640
Practice Address - Country:US
Practice Address - Phone:307-234-3500
Practice Address - Fax:307-235-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY106284100332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment