Healthcare Provider Details

I. General information

NPI: 1417594474
Provider Name (Legal Business Name): MED-CONNECT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 TRIBUTARY POINT DR STE 180
GOLD RIVER CA
95670-4531
US

IV. Provider business mailing address

12150 TRIBUTARY POINT DR STE 180
GOLD RIVER CA
95670-4531
US

V. Phone/Fax

Practice location:
  • Phone: 916-235-4029
  • Fax: 888-630-9366
Mailing address:
  • Phone: 916-235-4029
  • Fax: 888-630-9366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KEVIN HAWES
Title or Position: OWNER / PRESIDENT
Credential:
Phone: 916-799-0842