SOURCE 1 - DME
NPI 1063749265
Durable Medical Equipment & Medical Supplies - Customized Equipment in Loveland, CO

Active since November 09, 2009
1615 FOXTRAIL DR STE 190, LOVELAND, CO 80538(303) 952-0396(303) 595-5262 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Source 1 - Dme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE 1 - DME (NPI 1063749265) is a healthcare organization registered as a customized equipment in Loveland, Colorado and active in the NPI registry since November 2009. The organization lists Tracy John Fox, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1063749265
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSOURCE 1
Location Address1615 FOXTRAIL DR STE 190Loveland, CO 80538-9087
Mailing Address3012 Mica CtSuperior, CO 80027-4548 · (303) 952-0396 · Fax (303) 595-5262
Fax(303) 595-5262
Organization SubpartNo
Authorized OfficialTracy John FoxBusiness Owner · (303) 952-0396
Enumeration DateNovember 9, 2009
NPI 1063749265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in CO · 4274647
1615 FOXTRAIL DR STE 190, Loveland, CO 80538

Other Names 1

Doing Business AsSource 1 - Dme

Other Identifiers 1

Medicaid38059525CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source 1's NPI number?

The NPI number for Source 1 is 1063749265. It was assigned to this organization in the NPPES registry on November 9, 2009. The provider is doing business as Source 1 - Dme.

Where is Source 1 located?

Source 1 is located at 1615 Foxtrail Dr Ste 190, Loveland, CO 80538. The listed phone number is (303) 952-0396.

What is Source 1's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Source 1 was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.