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Medco Professional Services Corp

Medco Professional Services Corp is a health care provider in Salt Lake City, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 401 E Main St, Trinidad, CO 81082-2714, US
Practice Location Phone719-846-8328
Practice Location Fax719-846-8278
Legal Business NameMEDCO PROFESSIONAL SERVICES CORP
Other Organization NameMEDCO PROFESSIONAL SERVICES, CORP.
Other Organization Name TypeDoing Business As Name
NPI ?1710967690
Entity TypeOrganization
Enumeration Date ? Jan 18, 2006
Last Update Date ? Aug 7, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Medco Professional Services Corp

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical SuppliesCustomized Equipment
Durable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Durable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Prosthetic/Orthotic Supplier

legacy-id-icon Legacy Provider IDs of Medco Professional Services Corp

Provider IdIssuer StateIssuer TypeIssuer
08012072ColoradoMedicaid
000A8066New MexicoMedicaid

official-icon Authorized Official of Medco Professional Services Corp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Medco Professional Services Corp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Robin L Menchen
Authorized Official Title/PositionCHIEF ADMINISTRTION OFFICER
Authorized Official Phone Number407-822-4600