| Organization Name: | BENNETT MEDICAL SERVICES, INC. |
| NPI Number: | 1134406465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW ROTTER (VICE PRESIDENT OF OPERATIONS) |
| Mailing Address: | 1130 Elkton Dr Suite A Colorado Springs |
| State: | CO US |
| Postal Code: | 809078506 |
| Phone Number: | 7196359119 |
| Fax Number: | 7196359956 |
| NPI Enumeration Date: | 11/15/2011 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 20111586637 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |