Provider Demographics
NPI:1437333226
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:
Authorized Official - Last Name:GODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-261-9641
Mailing Address - Street 1:355 W BEDFORD AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-5836
Mailing Address - Country:US
Mailing Address - Phone:559-261-9641
Mailing Address - Fax:559-261-9697
Practice Address - Street 1:2525 OCONEE AVE APT 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3997
Practice Address - Country:US
Practice Address - Phone:757-377-2136
Practice Address - Fax:757-486-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103284332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03166FMedicaid
CADME03166FMedicaid