Provider Demographics
NPI:1407046691
Name:BENNETT MEDICAL SERVICES
Entity Type:Organization
Organization Name:BENNETT MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-437-7264
Mailing Address - Street 1:2600 MILL ST
Mailing Address - Street 2:STE. 600
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2103
Mailing Address - Country:US
Mailing Address - Phone:775-329-0799
Mailing Address - Fax:775-329-9682
Practice Address - Street 1:2300 EAGLE VALLEY RANCH RD
Practice Address - Street 2:STE. B
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-9513
Practice Address - Country:US
Practice Address - Phone:775-841-4100
Practice Address - Fax:775-841-4170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVC-0165268332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003316778Medicaid
NV0759880004Medicare NSC