Provider Demographics
NPI:1598842916
Name:REM MEDICAL
Entity Type:Organization
Organization Name:REM MEDICAL
Other - Org Name:JEFF HUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXEMPTEE
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:707-252-1012
Mailing Address - Street 1:PO BOX 10978
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94581-2978
Mailing Address - Country:US
Mailing Address - Phone:707-252-1012
Mailing Address - Fax:707-252-1021
Practice Address - Street 1:490 MERCHANT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4551
Practice Address - Country:US
Practice Address - Phone:707-252-1012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43950332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies