Provider Demographics
NPI:1548376684
Name:HARTMAN BROTHERS INC
Entity type:Organization
Organization Name:HARTMAN BROTHERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-240-9556
Mailing Address - Street 1:531 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3931
Mailing Address - Country:US
Mailing Address - Phone:970-240-9556
Mailing Address - Fax:970-240-0871
Practice Address - Street 1:531 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3931
Practice Address - Country:US
Practice Address - Phone:970-240-9556
Practice Address - Fax:970-240-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X, 3336S0011X
CO549333600000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO046727199OtherEEOICP
CO08868036Medicaid
CO86803OtherANTHEM BCBS FEP
CO=========001OtherROCKY MOUNTAIN HEALTH PLA
CO1053230001Medicare ID - Type Unspecified