Active NPI
High Country Oxygen LLC
- Durable Medical Equipment & Medical Supplies
- Breckenridge, CO
National Provider Identifier
1104534387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HIGH COUNTRY OXYGEN LLC
- Practice address
- 235 S Ridge St.
#1B
Breckenridge, CO 80424-8042 - Phone
- (970) 409-2840
- Fax
- (970) 366-3386
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Wright
- Title
- Managing Member
- Phone
- (970) 409-2840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
235 S Ridge St.
#1B
Breckenridge, CO 80424-8042
Mailing address
PO Box 2184
Breckenridge, CO 80424-2157
Phone (970) 409-2840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231101002821 | CO | DME Supplier - Oxygen & Equipment | 0446606149 | Practice locations: Breckenridge, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| High Country Oxygen | Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1104534387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2184",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804242157",
"telephone_number": "970-409-2840",
"fax_number": "970-366-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S RIDGE ST.",
"address_2": "#1B",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804248042",
"telephone_number": "970-409-2840",
"fax_number": "970-366-3386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH COUNTRY OXYGEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2023-02-16",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "970-409-2840"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.