Provider Demographics
NPI:1063678068
Name:ROCKWOOD MEDICAL, INC.
Entity Type:Organization
Organization Name:ROCKWOOD MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CO.
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-897-4143
Mailing Address - Street 1:1097 WHITTLESAY LN
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2160
Mailing Address - Country:US
Mailing Address - Phone:440-897-4143
Mailing Address - Fax:216-771-5873
Practice Address - Street 1:1097 WHITTLESAY LN
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-2160
Practice Address - Country:US
Practice Address - Phone:440-897-4143
Practice Address - Fax:216-771-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18444138332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies