Organization Name: | REBUILDER MEDICAL TECHNOLOGIES OF NEVADA, INC. |
NPI Number: | 1245489822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID B. PHILLIPS (PRESIDENT/CEO) |
Mailing Address: | 636 Treeline Dr Suite B Charles Town |
State: | WV US |
Postal Code: | 254144700 |
Phone Number: | 8775858230 |
Fax Number: | 3047254915 |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |