Organization Active NPI

Redwood Empire Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rohnert Park, CA
National Provider Identifier
1336176601
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REDWOOD EMPIRE MEDICAL SUPPLY INC.
Practice address
6620 Redwood Dr # 1
Rohnert Park, CA 94928-2372
Phone
(707) 585-6800
Fax
(707) 585-6886
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Mr. William F Chretien
Title
Secretary
Phone
(707) 585-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6620 Redwood Dr # 1
Rohnert Park, CA 94928-2372

Mailing address

6620 Redwood Dr # 1
Rohnert Park, CA 94928-2372
Phone (707) 585-6800

National Provider Directory

National Provider Directory

Locations

6620 Redwood Dr
Ste 1
Rohnert Park, CA 94928
Phone (707) 585-6800

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1336176601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 REDWOOD DR # 1",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282372",
            "telephone_number": "707-585-6800",
            "fax_number": "707-585-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 REDWOOD DR # 1",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282372",
            "telephone_number": "707-585-6800",
            "fax_number": "707-585-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD EMPIRE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "CHRETIEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-585-6800",
        "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": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.