Provider Demographics
NPI:1053640326
Name:MEDICAL CARE TECHNOLOGIES
Entity Type:Organization
Organization Name:MEDICAL CARE TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:REBARCAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-632-3333
Mailing Address - Street 1:2412 COMSTOCK CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8463
Mailing Address - Country:US
Mailing Address - Phone:307-632-3333
Mailing Address - Fax:
Practice Address - Street 1:2412 COMSTOCK CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8463
Practice Address - Country:US
Practice Address - Phone:307-632-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies