Provider Demographics
NPI:1578738654
Name:S&S REHAB PRODUCTS PLUS, INC.
Entity Type:Organization
Organization Name:S&S REHAB PRODUCTS PLUS, INC.
Other - Org Name:S&S REHAB PRODUCTS - GF LOCATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-681-3710
Mailing Address - Street 1:218 LABREE AVE N
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701-2035
Mailing Address - Country:US
Mailing Address - Phone:218-681-3710
Mailing Address - Fax:218-681-3712
Practice Address - Street 1:4350 S. WASHINGTON STR.
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-772-3533
Practice Address - Fax:701-772-3633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S&S REHAB PRODUCTS PLUS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-29
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5792440002Medicare NSC