Provider Demographics
NPI: | 1811212566 |
---|---|
Name: | AMSR, LLC |
Entity Type: | Organization |
Organization Name: | AMSR, LLC |
Other - Org Name: | AMERICAN MEDICAL SALES & REPAIR |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO/MANAGING PARTNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | K |
Authorized Official - Last Name: | HOPKINS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 303-483-7156 |
Mailing Address - Street 1: | 7042 S REVERE PKWY |
Mailing Address - Street 2: | SUITE 450 |
Mailing Address - City: | CENTENNIAL |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80112-6770 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-483-7150 |
Mailing Address - Fax: | 303-483-7156 |
Practice Address - Street 1: | 7042 S REVERE PKWY |
Practice Address - Street 2: | SUITE 450 |
Practice Address - City: | CENTENNIAL |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80112-6770 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-483-7150 |
Practice Address - Fax: | 303-483-7156 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-04-06 |
Last Update Date: | 2015-05-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |