Provider Demographics
NPI:1275715815
Name:RURAL HEALTHCARE DEVELOPERS, INC.
Entity Type:Organization
Organization Name:RURAL HEALTHCARE DEVELOPERS, INC.
Other - Org Name:PATIENTS' CHOICE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-321-1155
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:PLANTERSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38862-0489
Mailing Address - Country:US
Mailing Address - Phone:662-840-0196
Mailing Address - Fax:
Practice Address - Street 1:2533 MAIN ST.
Practice Address - Street 2:
Practice Address - City:PLANTERSVILLE
Practice Address - State:MS
Practice Address - Zip Code:38862-0489
Practice Address - Country:US
Practice Address - Phone:662-840-0196
Practice Address - Fax:662-840-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07341/11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies