Organization Name: | RANGE REGIONAL HEALTH SERVICES |
NPI Number: | 1710954821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA KATHLEEN BOARDMAN (PRESIDENT & CEO) |
Mailing Address: | 2716 Crescent Drive Suite 1 International Falls |
State: | MN US |
Postal Code: | 566492198 |
Phone Number: | 2182834174 |
Fax Number: | 2182835561 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |