Provider Demographics
NPI:1710274550
Name:A-1 MEDICAL EQUIPMENT & SUPPLY LLC
Entity Type:Organization
Organization Name:A-1 MEDICAL EQUIPMENT & SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HYACINTH
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-810-6556
Mailing Address - Street 1:18199 E LASALLE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-5919
Mailing Address - Country:US
Mailing Address - Phone:303-810-6556
Mailing Address - Fax:
Practice Address - Street 1:18199 E LASALLE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-5919
Practice Address - Country:US
Practice Address - Phone:303-810-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies