Provider Demographics
NPI:1366523482
Name:REHAB PRODUCTS, INC
Entity type:Organization
Organization Name:REHAB PRODUCTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REG. OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-378-7235
Mailing Address - Street 1:1300 GODWARD STREET NE
Mailing Address - Street 2:SUITE 6250
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413
Mailing Address - Country:US
Mailing Address - Phone:612-676-0780
Mailing Address - Fax:
Practice Address - Street 1:708 DIVISION STREET SOUTH
Practice Address - Street 2:REHAB PRODUCTS INC
Practice Address - City:CAVALIER
Practice Address - State:ND
Practice Address - Zip Code:58220
Practice Address - Country:US
Practice Address - Phone:701-265-4927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN179K1REOtherBCBS ID