Organization
MERCER COUNTY REHAB SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHAD H MAXWELL (PRESIDENT)
(800) 258-4212
Entity
Organization
Contact information
Practice address
202 N BROAD ST, GROVE CITY, PA 16127-1638
(800) 258-4212
(724) 458-6286
Mailing address
202 N BROAD ST, GROVE CITY, PA 16127-1638
(800) 258-4212
(724) 458-6286
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000246060
BCBS OF PA
PA
05
—
0018916490002
—
PA
Enumeration date
06/09/2006
Last updated
01/22/2009
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