Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Source 1

Organization Customized Equipment (DME) · NPI 1063749265

Source 1 is a Customized Equipment (DME) in Loveland, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009

Practice location Address checks out

1615 Foxtrail Dr Ste 190
Loveland, CO 80538-9087
Phone: (303) 952-0396
Fax: (303) 595-5262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 4274647 (CO)

Record details

NPI number1063749265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Fox — Business Owner · (303) 952-0396
Other names Source 1 - Dme
NPI enumeratedNovember 9, 2009
Last updated in NPPESNovember 9, 2009
Mailing address3012 Mica Ct, Superior, CO 80027-4548

Other providers in Loveland