# BASS MANAGEMENT SERVICES ORGANIZATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346843323
- **Authorized official:** BONNIE POTTER (CREDENTIALING MANAGER)
- **Authorized official phone:** (925) 948-8143

## Contact information

- **Practice address:** 2637 SHADELANDS DR STE G, WALNUT CREEK, CA 94598-2512
- **Practice address phone:** (925) 948-8143
- **Practice address fax:** (925) 215-4540
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
- **Mailing address phone:** (925) 948-8143
- **Mailing address fax:** (925) 215-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2020
- **Last updated:** 01/11/2021
