Organization
RELIABLE MEDICAL SUPPLY & RENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARK JACKSON (OWNER / PRESIDENT)
(620) 784-2580
Entity
Organization
Contact information
Practice address
416 S. HUSTON, ALTAMONT, KS 67330-9267
(620) 784-2580
(620) 784-2583
Mailing address
PO BOX 8, ALTAMONT, KS 67330-0008
(620) 784-2580
(620) 784-2583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395240A
—
KS
01
—
118034
PROVIDER #
KS
01
—
661770
PROVIDER #
KS
Enumeration date
06/16/2005
Last updated
03/10/2014
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