Organization
BENNETT MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
4135 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3494
(702) 382-4940
(702) 382-8608
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
C-0165268
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
C-0165268
NV
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003316778
—
NV
Enumeration date
01/18/2007
Last updated
07/27/2022
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