Provider Demographics
NPI:1326001116
Name:HARBOUR MEDICAL, INC.
Entity Type:Organization
Organization Name:HARBOUR MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUBINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-964-7740
Mailing Address - Street 1:70 HERITAGE AVE UNIT 13
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5651
Mailing Address - Country:US
Mailing Address - Phone:603-964-7740
Mailing Address - Fax:603-964-7783
Practice Address - Street 1:70 HERITAGE AVE UNIT 13
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5651
Practice Address - Country:US
Practice Address - Phone:603-964-7740
Practice Address - Fax:603-964-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1048350001Medicare ID - Type Unspecified