Provider Demographics
NPI:1861598377
Name:FOSS COMPANY INC.
Entity type:Organization
Organization Name:FOSS COMPANY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:303-279-3373
Mailing Address - Street 1:1224 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1145
Mailing Address - Country:US
Mailing Address - Phone:303-279-3373
Mailing Address - Fax:303-278-9556
Practice Address - Street 1:1224 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1145
Practice Address - Country:US
Practice Address - Phone:303-278-9555
Practice Address - Fax:303-278-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03330503Medicaid
CO03330503Medicaid