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NPI Code Detail

MEDICARE: BHSM REHABILITATION, LLC

MEDICARE: BHSM REHABILITATION, LLC
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 Supplies

General Provider Information

NPI Number : 1447767884
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHSM REHABILITATION, LLC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1025 E BROADWAY RD STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85282-1535
Country : US
Telephone Number : 480-829-0217
Fax Number : 480-829-1410
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/09/2018

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Directions to “BHSM REHABILITATION, LLC ” Practice Location

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