MEDICARE: NETBILL 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	171W00000X	Contractor	NA	CO

General Provider Information

NPI Number	:	1790817179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NETBILL INC

Provider Business Mailing Address
First Line	:	6238 MAROON MESA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6113
Country	:	US
Telephone Number	:	719-262-0671
Fax Number	:	719-262-0775

Provider Business Practice Location Address
First Line	:	6238 MAROON MESA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6113
Country	:	US
Telephone Number	:	719-262-0671
Fax Number	:	719-262-0775

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VANESSA SPEER
Credential	:
Telephone Number	:	719-262-0671

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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