Monument Ind.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

23917970000 Issued in CO

Legal business name

MONUMENT IND.

Doing business as

Monument Wigs & Breastforms

Practice address

241 Grand Ave
Suite #6
Grand Junction, CO 81501-2262

Phone

(970) 257-1317

Fax

(970) 242-2406

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennie Kay Berry, RFM

Title

Fitter

Phone

(970) 257-1317

Specialties & licenses 1

Addresses

Other names 1

• Monument Wigs & Breastforms Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1407994148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GRAND AVE",
            "address_2": "SUITE # 6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012262",
            "telephone_number": "970-257-1317",
            "fax_number": "970-242-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GRAND AVE",
            "address_2": "SUITE #6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012262",
            "telephone_number": "970-257-1317",
            "fax_number": "970-242-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT IND.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FITTER",
        "authorized_official_telephone_number": "970-257-1317",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "23917970000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Wigs & Breastforms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Montross
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• Monument Christian Counseling, PLLC
• Monument Christian Counseling, PLLC
• Monument Mental Health Services
• Monument Oral and Facial Surgery, PC
• Monument Physical Therapy LLC
• Monument Senior Care LLC
• Monument Sport & Spine LLC

• Durable Medical Equipment & Medical Supplies in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.