Provider Demographics
NPI:1730364001
Name:INTERNATIONAL COMMUNITY GUILDS
Entity type:Organization
Organization Name:INTERNATIONAL COMMUNITY GUILDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-853-0811
Mailing Address - Street 1:PO BOX 18106
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-0106
Mailing Address - Country:US
Mailing Address - Phone:775-853-0811
Mailing Address - Fax:775-853-0858
Practice Address - Street 1:16010 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-9604
Practice Address - Country:US
Practice Address - Phone:775-853-0811
Practice Address - Fax:775-853-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies