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NPI Code Detail

MEDICARE: REHABILITATION MEDICAL SUPPLY

MEDICARE: REHABILITATION MEDICAL SUPPLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesSD
2335E00000XProsthetic/Orthotic SupplierSD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083711386
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 1020 W 18TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4707
Country : US
Telephone Number : 605-444-9711
Fax Number : 605-275-4013
Provider Business Practice Location Address
First Line : 7110 JORDAN DRIVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-8738
Country : US
Telephone Number : 605-342-4412
Fax Number : 605-342-4211
Authorized Official
Title or Position : DIRECTOR
Name : AMY M JENSEN
Credential :
Telephone Number : 605-444-9711
Provider Enumeration Date : 09/20/2006
Last Update Date : 10/08/2021

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Directions to “REHABILITATION MEDICAL SUPPLY ” Practice Location

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