Mediquip Supplies and Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIQUIP SUPPLIES AND SERVICES LLC

Practice address

576 Northgate Dr
Unit B
Grand Junction, CO 81505-6906

Phone

(970) 243-9977

Fax

(970) 254-0162

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Rachelle Marie Clennin

Title

Owner

Phone

(970) 243-9977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609819218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 NORTHGATE DR.",
            "address_2": "UNIT B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-243-9977",
            "fax_number": "970-254-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 NORTHGATE DR",
            "address_2": "UNIT B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056906",
            "telephone_number": "970-243-9977",
            "fax_number": "970-254-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUIP SUPPLIES AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLENNIN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-243-9977"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46284257",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Means, LCSW
• Kelsey Mease
• Thomas Mansfield Meason Jr., MD
• Dylan Mechling
• Med-X., P.C.
• Elizabeth Carly Mee, STUDENT
• Rachel Meeks
• Christopher Andrew Meinzen, MD
• Courtney Marie Meisner
• Lisa Marie Meisner, RPH

• 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 Jul 21, 2022; 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.