BENNETT MEDICAL SERVICES INC (NPI# 1851661565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851661565 |
| Entity Type | Organization |
| Organization Name | BENNETT MEDICAL SERVICES INC |
| Practice Address |
1812 W Kettleman Ln Ste 3 Lodi CA 95242-4209 |
| Mailing Address |
2600 Mill St Ste 600 Reno NV 89502-2195 |
| Practice Telephone | 2093398953 |
| Practice Fax Number | 2093398491 |
| Mailing Telephone | 7753290799 |
| Mailing Fax Number | 7753299682 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MR. DOUGLAS B BENNETT (PRESIDENT) |
| Authorized Official Telephone | 7753290799 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | Y |
| Parent Organization Name | BENNETT MEDICAL SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | C-0165268 | NV | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
C-0165268 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 003316778 | 05 |
| Street Address |
1812 W KETTLEMAN LN STE 3 |
| City | LODI |
| State | CA |
| Zip Code | 95242-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425202 | Active Life Medical Products Inc | Durable Medical Equipment & Medical Supplies | 217 N Sacramento St, Lodi, CA 95240 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967259 | Tarlani Corp. | Durable Medical Equipment & Medical Supplies | 315 Arden Ave Ste 4, Glendale, CA 91203-1165 | 2020-09-17 |
| 1649803545 | Martha Ortega | Durable Medical Equipment & Medical Supplies | 3888 Sage Hill Pl, Santa Rosa, CA 95404-7696 | 2020-02-19 |
| 1568094001 | Bans Healthcare Group, Inc. | Durable Medical Equipment & Medical Supplies | 31133 Via Colinas Ste 103, Westlake Village, CA 91362-4519 | 2020-02-11 |
| 1992343867 | Oxygen Services Southwest LLC | Durable Medical Equipment & Medical Supplies | 13396 Contour Dr, Sherman Oaks, CA 91423-4802 | 2019-12-11 |
| 1538702568 | Can-al Medical Supplies | Durable Medical Equipment & Medical Supplies | 6650 Fair Oaks Blvd, Carmichael, CA 95608-4026 | 2019-10-22 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326607011 | Herocare LLC | Durable Medical Equipment & Medical Supplies | 12598 Central Ave Ste 109, Chino, CA 91710-3500 | 2019-06-06 |
| 1205300050 | Expedite LLC | Durable Medical Equipment & Medical Supplies | 8910 University Center Ln Ste 400, San Diego, CA 92122-1025 | 2019-01-15 |
| 1073093746 | Sgr Medical Solutions L.L.C. | Durable Medical Equipment & Medical Supplies | 2717 Cabernet Way, Rancho Cordova, CA 95670-4811 | 2018-08-21 |
| 1134607120 | Pulmonic Health, LLC | Durable Medical Equipment & Medical Supplies | 402 W Bedford Ave Ste 103, Fresno, CA 93711-6884 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BENNETT MEDICAL SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.