Provider Demographics
NPI:1194754994
Name:G7 MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:G7 MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:GODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-261-9641
Mailing Address - Street 1:230 W. FALLBROOK AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6228
Mailing Address - Country:US
Mailing Address - Phone:559-261-9641
Mailing Address - Fax:559-261-9697
Practice Address - Street 1:230 W. FALLBROOK AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6228
Practice Address - Country:US
Practice Address - Phone:559-261-9641
Practice Address - Fax:559-261-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103284332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010137039Medicaid
CADME03166FMedicaid
CA5028060001Medicare NSC