Organization
MCH MEDICAL EQUIPMENT INC
Active
Other names
Western Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE R HAWKINS (OFFICE MANAGER)
(707) 544-2412
Entity
Organization
Contact information
Practice address
3535 INDUSTRIAL DR STE B1, SANTA ROSA, CA 95403-2039
(707) 544-2412
(707) 544-5128
Mailing address
3535 INDUSTRIAL DRIVE SUITE B1, SANTA ROSA, CA 95403-2039
(707) 544-2412
(707) 544-5128
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01329G
—
CA
Enumeration date
10/02/2006
Last updated
03/20/2015
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