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NPI Code Detail

MEDICARE: MEDICAL SERVICES OF NEVADA INC

MEDICARE: MEDICAL SERVICES OF NEVADA 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
1253Z00000XIn Home Supportive Care Agency5921PCS-5NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699191817
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL SERVICES OF NEVADA INC
Provider Business Mailing Address
First Line : 343 FAIRVIEW DR
Second Line : UNIT 101
City : CARSON CITY
State : NV
Zip : 89701
Country : US
Telephone Number : 775-887-5683
Fax Number : 775-887-5677
Provider Business Practice Location Address
First Line : 343 FAIRVIEW DR
Second Line : UNIT 101
City : CARSON CITY
State : NV
Zip : 89701-5798
Country : US
Telephone Number : 775-887-5683
Fax Number : 775-887-5677
Authorized Official
Title or Position : AREA MANAGER
Name : CASSIAH DEPEW
Credential :
Telephone Number : 775-887-5683
Provider Enumeration Date : 03/12/2014
Last Update Date : 03/12/2014

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Directions to “MEDICAL SERVICES OF NEVADA INC ” Practice Location

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