MEDICARE: STREAMCITIES

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	:	1801273255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STREAMCITIES

Provider Business Mailing Address
First Line	:	7258 SASHAYING SPIRIT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2356
Country	:	US
Telephone Number	:	702-403-2916
Fax Number	:

Provider Business Practice Location Address
First Line	:	7258 SASHAYING SPIRIT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2356
Country	:	US
Telephone Number	:	702-403-2916
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES MCCARTHY
Credential	:
Telephone Number	:	702-403-2916

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	05/05/2015

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Directions to “STREAMCITIES ” Practice Location

Language	Start Address	Practice Location

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