Keene Medical Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEENE MEDICAL PRODUCTS, LLC

Practice address

603 Main St
Gorham, NH 03581-4903

Phone

(603) 752-7694

NPI assigned

Oct 17, 2006

Last updated

May 17, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott D Eastman

Title

Systems Administrator

Phone

(603) 448-5290

Specialties & licenses 1

Addresses

Other names 1

• Keene Medical Products, Inc Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431820800000",
    "number": "1104906403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANDING RD",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483545",
            "telephone_number": "603-448-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MAIN ST",
            "city": "GORHAM",
            "state": "NH",
            "postal_code": "035814903",
            "telephone_number": "603-752-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENE MEDICAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-05-17",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR",
        "authorized_official_telephone_number": "603-448-5290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keene Medical Products, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samuel Glenn Hanna, DC
• Mark William Hartzler, DMD
• Tung Hoang
• Tina Marie Holmes, CRSW
• Lindsey Dawn Jackson, DMD
• Donald Kernan, MD
• Douglas E Knee, O.D.
• Julie Kaye Limmer, APRN
• Matthew Thomas Marallo, PT
• John McDowell, MD

• Durable Medical Equipment & Medical Supplies in Gorham, NH
• Providers in Gorham, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.