Provider Demographics
NPI:1356389886
Name:RB MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:RB MEDICAL EQUIPMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROZOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-335-8420
Mailing Address - Street 1:1654 S COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-7216
Mailing Address - Country:US
Mailing Address - Phone:662-335-8420
Mailing Address - Fax:662-335-8421
Practice Address - Street 1:1654 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-7216
Practice Address - Country:US
Practice Address - Phone:662-335-8420
Practice Address - Fax:662-335-8421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS04731/11.1332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440644Medicaid
MS7473500001Medicare NSC
MS1296090001Medicare NSC
MS00330703Medicaid
MS2521070OtherNCPDP