RCC Medical Supply of Windsor LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

RCC MEDICAL SUPPLY OF WINDSOR LLC

Practice address

6801 W. 20TH Street
Unit 204
Greeley, CO 80634

Phone

(970) 356-9078

Fax

(970) 330-2087

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Brett Ledford

Title

Co Manager

Phone

(970) 356-9078

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881672178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W. 20TH STREET",
            "address_2": "UNIT 204",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-356-9078",
            "fax_number": "970-330-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W. 20TH STREET",
            "address_2": "UNIT 204",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-356-9078",
            "fax_number": "970-330-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCC MEDICAL SUPPLY OF WINDSOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CO MANAGER",
        "authorized_official_telephone_number": "970-356-9078"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71324062",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• RCC Medical Supply Inc
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• Sequoyah Jade Recio
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• Robel Bedali Redae
• Alissa Nicole Redditt Guzman

• Oxygen Equipment & Supplies (DME) in Greeley, CO
• Providers in Greeley, CO by specialty
• Oxygen Equipment & Supplies (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.