Provider Demographics
NPI:1023638947
Name:REHABILITATION EQUIPMENT ASSOCIATES INC
Entity type:Organization
Organization Name:REHABILITATION EQUIPMENT ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SODERQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-645-5200
Mailing Address - Street 1:1015 CANDIA RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-5252
Mailing Address - Country:US
Mailing Address - Phone:603-645-5200
Mailing Address - Fax:603-645-6098
Practice Address - Street 1:26 PARKRIDGE RD
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-8514
Practice Address - Country:US
Practice Address - Phone:978-914-6684
Practice Address - Fax:978-891-5655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION EQUIPMENT ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3079514Medicaid
MA110066943AMedicaid
MEMETPID002735Medicaid