Active NPI
Columbine Medical Equipment Inc
- Durable Medical Equipment & Medical Supplies
- Fort Collins, CO
National Provider Identifier
1376698696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 15130380000
- Legal business name
- COLUMBINE MEDICAL EQUIPMENT INC
- Practice address
- 802 W Drake Rd
Ste 123
Fort Collins, CO 80526-5567 - Phone
- (970) 221-1453
- Fax
- (970) 490-2754
- NPI assigned
- Jan 25, 2007
- 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
- Barry Kent Fancher
- Title
- Chief Financial Officer
- Phone
- (970) 482-0198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 15130380000 | CO | Primary |
Addresses
Primary practice location
802 W Drake Rd
Ste 123
Fort Collins, CO 80526-5567
Mailing address
802 W Drake Rd
Ste 123
Fort Collins, CO 80526-5567
Phone (970) 221-1453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08003634 | Medicaid | CO |
Other names 1
- MARKET CENTRE MEDICAL EQUIPMENT & SUPPLIES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930085242 | CO | DME Supplier - Medical Supply Company | 6800917659 | Practice locations: Fort Collins, 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 |
|---|---|---|
| Columbine Medical Equipment Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Sup… | Accepts assignment |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Windsor, CO
- NPI 1578994299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1376698696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W DRAKE RD",
"address_2": "STE 123",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265567",
"telephone_number": "970-221-1453",
"fax_number": "970-490-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W DRAKE RD",
"address_2": "STE 123",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265567",
"telephone_number": "970-221-1453",
"fax_number": "970-490-2754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBINE MEDICAL EQUIPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "FANCHER",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "970-482-0198"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "15130380000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08003634",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARKET CENTRE MEDICAL EQUIPMENT & SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Collins, CO
- Colorado State University Hartshorn Health Service
- Garrett Colton
- Keith Colton, LCSW, MSW
- Columbine Care Center West Inc.
- Columbine Management Services Inc
- Columbine Poudre Home Care, LLC
- Columbine Poudre Home Care, LLC
- Columbine West Health and Rehab LLC
- Columbine Women'S Clinic
- Cindy Kay Comer, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.