Provider Demographics
NPI:1417594474
Name:MED-CONNECT INC.
Entity Type:Organization
Organization Name:MED-CONNECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-799-0842
Mailing Address - Street 1:12150 TRIBUTARY POINT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4531
Mailing Address - Country:US
Mailing Address - Phone:916-235-4029
Mailing Address - Fax:888-630-9366
Practice Address - Street 1:12150 TRIBUTARY POINT DR STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-4531
Practice Address - Country:US
Practice Address - Phone:916-235-4029
Practice Address - Fax:888-630-9366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies