Mercer County Rehab Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MERCER COUNTY REHAB SUPPLY, INC

Practice address

202 N Broad St
Grove City, PA 16127-1638

Phone

(800) 258-4212

Fax

(724) 458-6286

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richad H Maxwell

Title

President

Phone

(800) 258-4212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1376584250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271638",
            "telephone_number": "800-258-4212",
            "fax_number": "724-458-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271638",
            "telephone_number": "800-258-4212",
            "fax_number": "724-458-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY REHAB SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "RICHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-258-4212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018916490002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA",
            "identifier": "000246060",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa McClure, PHARMD
• Jonathan Edward McDonald, RN
• Robert Francis McDonough, PTA
• Leah Alta McDowell, DO
• David William McGuire, DMD
• Mercer Osteopathic Clinic P.C.
• Emily R Merriman
• Jennifer Lynn Mertz, LPC
• John Wardell Metcalf, M.D.
• Joseph Raymond Meyn, DMD

• Durable Medical Equipment & Medical Supplies in Grove City, PA
• Providers in Grove City, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.