Healthcare Provider Details

I. General information

NPI: 1326001116
Provider Name (Legal Business Name): HARBOUR MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HERITAGE AVE UNIT 13
PORTSMOUTH NH
03801-5651
US

IV. Provider business mailing address

70 HERITAGE AVE UNIT 13
PORTSMOUTH NH
03801-5651
US

V. Phone/Fax

Practice location:
  • Phone: 603-964-7740
  • Fax: 603-964-7783
Mailing address:
  • Phone: 603-964-7740
  • Fax: 603-964-7783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNH

VIII. Authorized Official

Name: MR. GUY J RUBINO
Title or Position: OWNER
Credential:
Phone: 603-964-7740