OrganizationExtreme Mobility Medical Supply, Inc.Durable Medical Equipment & Medical SuppliesSuppliersPractice Address7858 N Academy Blvd, Colorado Springs, CO 80920-3920(719) 265-5225PECOS EnrollmentBased on the most recent information from CMS, provider Extreme Mobility Medical Supply, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134298649Provider TypeOrganizationFull NameExtreme Mobility Medical Supply, Inc.SubpartNoEnumeration Date11/7/2006Last Updated7/24/2008Contact InformationPractice LocationPractice Address7858 N Academy Blvd, Colorado Springs, CO 80920-3920Phone(719) 265-5225Fax(719) 265-6065Mailing LocationMailing Address7858 N Academy Blvd, Colorado Springs, CO 80920-3920Phone(719) 265-5225Fax(719) 265-6065Authorized OfficialNameVanhart, Michael (President)Phone(719) 265-5225Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicense20061344781Colorado