MCH Medical Equipment Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MCH MEDICAL EQUIPMENT INC

Doing business as

Western Rehab

Practice address

3535 Industrial Dr Ste B1
Santa Rosa, CA 95403-2039

Phone

(707) 544-2412

Fax

(707) 544-5128

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Connie R Hawkins

Title

Office Manager

Phone

(707) 544-2412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Western Rehab Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1952494486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 INDUSTRIAL DRIVE SUITE B1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032039",
            "telephone_number": "707-544-2412",
            "fax_number": "707-544-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 INDUSTRIAL DR STE B1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032039",
            "telephone_number": "707-544-2412",
            "fax_number": "707-544-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-544-2412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01329G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim McGrath, M.A.
• John McGriff IV
• Koren McGuire, RN
• Laurie Diane McGuire, SPEECH PATHOLOGIST
• Pamela Jane McGuire
• Jessica L. McIninch, PSY.D.
• Rodney McInnis, RAS I
• Zachary McIntosh
• Margaret Wheat McIntyre
• Theodore James McKean, M.D.

• Customized Equipment (DME) in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.