Provider Demographics
NPI:1235135849
Name:MEDTECH SERVICES INC
Entity Type:Organization
Organization Name:MEDTECH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:775-826-2022
Mailing Address - Street 1:555 GENTRY WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4612
Mailing Address - Country:US
Mailing Address - Phone:775-826-2022
Mailing Address - Fax:775-826-6040
Practice Address - Street 1:555 GENTRY WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4612
Practice Address - Country:US
Practice Address - Phone:775-826-2022
Practice Address - Fax:775-826-6040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00006332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0195410001Medicare ID - Type Unspecified