Provider Demographics
NPI:1467532127
Name:RENEW MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:RENEW MEDICAL SERVICES LLC
Other - Org Name:CHARRON MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-889-7220
Mailing Address - Street 1:222 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2946
Mailing Address - Country:US
Mailing Address - Phone:603-889-7220
Mailing Address - Fax:603-889-6221
Practice Address - Street 1:222 MAIN ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2946
Practice Address - Country:US
Practice Address - Phone:603-889-7220
Practice Address - Fax:603-889-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3078881Medicaid