Provider Demographics
NPI:1770041451
Name:MEDICAL SERVICES OF NEVADA INC
Entity Type:Organization
Organization Name:MEDICAL SERVICES OF NEVADA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-273-6658
Mailing Address - Street 1:1325 AIRMOTIVE WAY STE 262
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3240
Mailing Address - Country:US
Mailing Address - Phone:775-828-6420
Mailing Address - Fax:775-828-6413
Practice Address - Street 1:1325 AIRMOTIVE WAY STE 262
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3240
Practice Address - Country:US
Practice Address - Phone:775-828-6420
Practice Address - Fax:775-828-6413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care