Rae Medical
Organization Active NPI Durable Medical Equipment & Medical Supplies · Pollock Pines, CA
NPI 1447557178 · NPPES record last updated Feb 15, 2011
Key facts
- NPI
- 1447557178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 047113 (CA)
- Legal business name
- RAE MEDICAL
- Practice address
- 6454 Pony Express TRL
Suite 33
Pollock Pines, CA 95726-9652 - Phone
- (916) 715-4317
- NPI assigned
- Feb 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Linda Rae Lorden, RN
- Title
- Ceo
- Phone
- (916) 715-4317
National Provider Directory
Locations
6454 Pony Express Trl
Ste 33
Pollock Pines, CA 95726
Phone (916) 715-4317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 047113 | CA | Yes |
| Customized Equipment (DME) | 332BC3200X | 047113 | CA | |
| Nursing Facility Supplies (DME) | 332BN1400X | 047113 | CA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 047113 | CA |
Addresses
Primary practice location
6454 Pony Express TRL
Suite 33
Pollock Pines, CA 95726-9652
Mailing address
PO Box 1343
Placerville, CA 95667-1343
Phone (916) 715-4317
Other providers in Pollock Pines, CA
- Catrina M Norgard
- Nastacia Renee Parham
- Pollock Pines Elementary
- Positive Behavioral Services, LLC
- Progress House Inc.
- Angela Reading
- Shannon Denise Reilly
- Joanne Richerson
- Maureen Robertson
- America Ladybird Robicheau
All providers in Pollock Pines, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.