Provider Demographics
NPI:1831840651
Name:MEDSTUFF INC
Entity type:Organization
Organization Name:MEDSTUFF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GESELKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-333-2035
Mailing Address - Street 1:7150 LEETSDALE DR UNIT 316
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3516
Mailing Address - Country:US
Mailing Address - Phone:303-333-2035
Mailing Address - Fax:303-333-0052
Practice Address - Street 1:7150 LEETSDALE DR UNIT 316
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3516
Practice Address - Country:US
Practice Address - Phone:303-333-2035
Practice Address - Fax:303-333-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000170601Medicaid