ADVANCED INFANT FORMULAS LLC (NPI# 1609059971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609059971 |
| Entity Type | Organization |
| Organization Name | ADVANCED INFANT FORMULAS LLC |
| Practice Address |
10 Circle C Rd Fountain CO 80817-3307 |
| Practice Telephone | 7192016231 |
| Practice Fax Number | 7193924607 |
| Mailing Telephone | 7192016231 |
| Mailing Fax Number | 7193924607 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | MR. WALLACE LAYNE SISLER (PARTNER) |
| Authorized Official Telephone | 7192016231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| Street Address |
10 CIRCLE C RD |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1063954063 | Tracey Lynn Daniels | Physician Assistant | 10513 Wells Pt, Fountain, CO 80817 | 2016-11-08 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| Find all providers in zip 80817 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
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| 1265053219 | Ccs Medical Supply | Durable Medical Equipment & Medical Supplies | 4651 Tulsa Ct, Denver, CO 80239-4452 | 2020-04-30 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1871801902 | Maulin Medical LLC | Durable Medical Equipment & Medical Supplies | 486 E Gentry Dr, Pueblo West, CO 81007-3424 | 2010-09-23 |
| 1972737773 | Castle Pines Medical, Inc. | Durable Medical Equipment & Medical Supplies | 14883 E Hinsdale Ave, Suite 2, Centennial, CO 80112-6909 | 2009-05-07 |
| 1356587422 | Monte Carlo Trading LLC | Durable Medical Equipment & Medical Supplies | 2353 Sagebrush St, Parker, CO 80138-4230 | 2008-12-19 |
| 1215096318 | Goldin Pharmacy and Medical Supply | Durable Medical Equipment & Medical Supplies | 909 S Oneida St, Ste 11, Denver, CO 80224-3582 | 2006-12-06 |
| 1548347156 | Option 1 Nutrition Solutions LLC | Durable Medical Equipment & Medical Supplies | 4990 Nome St, Suite B, Denver, CO 80239-2735 | 2006-11-01 |
| 1710083027 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5365 S Alkire Cir Ste 100, Littleton, CO 80127-1403 | 2006-09-15 |
| 1528177391 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1005 W 6th St, Pueblo, CO 81003-2315 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.