Provider Demographics
NPI:1033283460
Name:RENMAR HEALTH CARE PRODUCTS, LLC
Entity Type:Organization
Organization Name:RENMAR HEALTH CARE PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-225-0180
Mailing Address - Street 1:3 ORMOND ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6135
Mailing Address - Country:US
Mailing Address - Phone:603-225-0180
Mailing Address - Fax:603-715-2254
Practice Address - Street 1:3 ORMOND ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6135
Practice Address - Country:US
Practice Address - Phone:603-225-0180
Practice Address - Fax:603-715-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30764406Medicaid
NH5849970001Medicare NSC