Organization Name: | REBUILDER MEDICAL, INC. |
NPI Number: | 1679729610 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J EVANS (BILLING MANAGER) |
Mailing Address: | 636 Treeline Dr Charles Town |
State: | WV US |
Postal Code: | 254144700 |
Phone Number: | 3047252202 |
Fax Number: | 3047254915 |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 200295036001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |