Provider Demographics
NPI:1265768147
Name:MEDSTUFF INC
Entity type:Organization
Organization Name:MEDSTUFF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GESELKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-333-2035
Mailing Address - Street 1:7150 LEETSDALE DR UNIT 312
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3516
Mailing Address - Country:US
Mailing Address - Phone:303-333-2035
Mailing Address - Fax:303-333-0052
Practice Address - Street 1:7150 LEETSDALE DR UNIT 312
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3516
Practice Address - Country:US
Practice Address - Phone:303-333-2035
Practice Address - Fax:303-333-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20156001224332B00000X, 332BX2000X
332BC3200X
CO66456223 HCBS333300000X
COPDO-810333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
20186001131OtherSTATE OF COLORADO DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE
CO66456223OtherMEDICAID HCBS
CO04249580-0003OtherCOLORADO SALES TAX LICENSE
COPDO-810OtherCOLORADO STATE BOARD OF PHARMACY
CO69039348Medicaid
COFM2568232OtherDEA
CO20156001224OtherSTATE OF COLORADO DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE