Organization Active NPI

Columbine Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Collins, CO
National Provider Identifier
1376698696
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15130380000 Issued in CO
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

Updated by the provider on Dec 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08003634MedicaidCO

Other names 1

  • MARKET CENTRE MEDICAL EQUIPMENT & SUPPLIES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930085242 CO DME Supplier - Medical Supply Company 6800917659 Practice locations: Fort Collins, CO

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Columbine Medical Equipment Inc802 W Drake Rd, Fort Collins, CO 80526-5567(970) 221-1453 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Ownership & 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.

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

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.

Verify at the official NPI Registry.