MEDICARE: BHS PHYSICIANS NETWORK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1669036158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHS PHYSICIANS NETWORK, INC.

Provider Business Mailing Address
First Line	:	PO BOX 5730
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5700
Country	:	US
Telephone Number	:	207-323-7336
Fax Number	:	888-864-4428

Provider Business Practice Location Address
First Line	:	4646 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-6312
Country	:	US
Telephone Number	:	915-313-6300
Fax Number	:	915-521-2028

Authorized Official
Title or Position	:	VP, CFO TPR TENET
Name	:	BRIAN RASMUS
Credential	:
Telephone Number	:	469-893-2532

Provider Enumeration Date	:	04/30/2019
Last Update Date	:	05/30/2023

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