Active NPI
Willowcreek Oxygen and Medical Supply Inc
- Oxygen Equipment & Supplies (DME)
- Steamboat Springs, CO
National Provider Identifier
1437193562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- WILLOWCREEK OXYGEN AND MEDICAL SUPPLY INC
- Practice address
- 2620 S Copper Frontage Rd Unit 4
Steamboat Springs, CO 80487-4977 - Phone
- (970) 871-0999
- NPI assigned
- Jun 16, 2006
- Last updated
- Dec 4, 2013
- 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
- George Ibarra
- Title
- Owner
- Phone
- (970) 871-0999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | Primary |
Addresses
Primary practice location
2620 S Copper Frontage Rd Unit 4
Steamboat Springs, CO 80487-4977
Mailing address
PO Box 776276
Steamboat Springs, CO 80487-6276
Phone (970) 871-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20626860 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
2620 S Copper Frontage Rd
Unit 4
Steamboat Springs, CO 80487
Phone (970) 871-0999
2620 S Copper Frontage Rd
Unit 4F
Steamboat Springs, CO 80487
Phone (970) 871-0999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1437193562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776276",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804876276",
"telephone_number": "970-871-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S COPPER FRONTAGE RD UNIT 4",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804874977",
"telephone_number": "970-871-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOWCREEK OXYGEN AND MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "IBARRA",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-871-0999"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20626860",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steamboat Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.