Provider Demographics
NPI:1710264403
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:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-880-0473
Mailing Address - Street 1:2600 MILL ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2195
Mailing Address - Country:US
Mailing Address - Phone:775-329-0799
Mailing Address - Fax:775-329-9682
Practice Address - Street 1:6665 S KENTON ST STE 201
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6822
Practice Address - Country:US
Practice Address - Phone:720-519-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENNETT MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-08
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20111586637332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies