Provider Demographics
NPI:1568930865
Name:RENMAR DME INC.
Entity Type:Organization
Organization Name:RENMAR DME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-759-7474
Mailing Address - Street 1:PO BOX 4023
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-4023
Mailing Address - Country:US
Mailing Address - Phone:603-225-0180
Mailing Address - Fax:603-218-6425
Practice Address - Street 1:161 RIVER RD UNIT 1
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3356
Practice Address - Country:US
Practice Address - Phone:603-225-0180
Practice Address - Fax:603-218-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies