Provider Demographics
NPI:1609989128
Name:MARTEL'S SELF CARE PRODUCTS INC
Entity Type:Organization
Organization Name:MARTEL'S SELF CARE PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLOURDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-485-3490
Mailing Address - Street 1:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:ALLENSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03275-0573
Mailing Address - Country:US
Mailing Address - Phone:603-485-3490
Mailing Address - Fax:603-485-4849
Practice Address - Street 1:68 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-1978
Practice Address - Country:US
Practice Address - Phone:603-485-3490
Practice Address - Fax:603-485-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80001865Medicaid