Provider Demographics
NPI:1346495264
Name:CONNECTICUT MEDICAL RENTAL LLC
Entity Type:Organization
Organization Name:CONNECTICUT MEDICAL RENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-345-2274
Mailing Address - Street 1:128 THAYER RD
Mailing Address - Street 2:
Mailing Address - City:HIGGANUM
Mailing Address - State:CT
Mailing Address - Zip Code:06441-4022
Mailing Address - Country:US
Mailing Address - Phone:860-345-2274
Mailing Address - Fax:860-345-7655
Practice Address - Street 1:128 THAYER RD
Practice Address - Street 2:
Practice Address - City:HIGGANUM
Practice Address - State:CT
Practice Address - Zip Code:06441-4022
Practice Address - Country:US
Practice Address - Phone:860-345-2274
Practice Address - Fax:860-345-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies