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RELIANT REHAB SERVICE & SUPPLY LLC NPI 1730249665


NPI Information

NPI: 1730249665
Provider Name: RELIANT REHAB SERVICE & SUPPLY, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6705A STEWART AVE
WAUSAU, WI
ZIP 54401
Phone: (715) 842-9695
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RELIANT REHAB SERVICE & SUPPLY, LLC is a durable medical equipment medical supplies in Wausau, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RELIANT REHAB SERVICE & SUPPLY, LLC NPI is 1730249665. The provider is registered as an organization entity type.

The provider's business location address is:

6705A STEWART AVE
WAUSAU, WI
ZIP 54401-318
Phone: (715) 842-9695

The provider's authorized official is Ryan D Burr .
The authorized official title is Cfo and has the following contact phone number (715) 552-3711.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies00400031000WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141567800MEDICAIDWISCONSIN
20551700004MEDICARE NSCWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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