Provider Demographics
NPI:1619331246
Name:BELMEAR MECHANICAL ENTERPRISESLLC
Entity Type:Organization
Organization Name:BELMEAR MECHANICAL ENTERPRISESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARATH
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BELMEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-731-2781
Mailing Address - Street 1:875 COUNTY ROAD 600 UNIT 14
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-7950
Mailing Address - Country:US
Mailing Address - Phone:970-731-2781
Mailing Address - Fax:
Practice Address - Street 1:875 COUNTY ROAD 600 UNIT 14
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-7950
Practice Address - Country:US
Practice Address - Phone:970-731-2781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1812332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO99753561Medicaid