Provider Demographics
NPI:1871595835
Name:DARTMOUTH MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:DARTMOUTH MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:HOWLAND
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-997-1241
Mailing Address - Street 1:19 OLD WESTPORT RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2513
Mailing Address - Country:US
Mailing Address - Phone:508-997-1241
Mailing Address - Fax:508-997-9739
Practice Address - Street 1:19 OLD WESTPORT RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2513
Practice Address - Country:US
Practice Address - Phone:508-997-1241
Practice Address - Fax:508-997-9739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-02
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1529315Medicaid
MA1529315Medicaid
MA0296480002Medicare ID - Type Unspecified
MA0296480001Medicare ID - Type Unspecified