Provider Demographics
NPI:1376340448
Name:MEDICAID MANAGEMENT INC
Entity type:Organization
Organization Name:MEDICAID MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-494-0443
Mailing Address - Street 1:7447 CROW CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-1432
Mailing Address - Country:US
Mailing Address - Phone:719-622-6578
Mailing Address - Fax:
Practice Address - Street 1:7447 CROW CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-1432
Practice Address - Country:US
Practice Address - Phone:719-622-6578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health