KEENE MEDICAL PRODUCTS, LLC (NPI# 1255455465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255455465 |
| Entity Type | Organization |
| Organization Name | KEENE MEDICAL PRODUCTS, LLC |
| Other Organization Name | KEENE MEDICAL PRODUCTS, INC |
| Practice Address |
397 Railroad St Ste B Saint Johnsbury VT 05819-1739 |
| Mailing Address |
5 Landing Rd Enfield NH 03748-3545 |
| Practice Telephone | 8027484185 |
| Practice Fax Number | 8027484187 |
| Mailing Telephone | 6034485290 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-05-17 |
| Authorized Official Name | MR. SCOTT D EASTMAN (SYSTEMS ADMINISTRATOR) |
| Authorized Official Telephone | 6034488900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Keene Medical Products, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538325154 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 153 Allen St, Rutland, VT 05701-4555 | 2008-08-04 |
| 1982784286 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 66 Airport Rd, Concord, NH 03301-5205 | 2006-10-17 |
| 1275613564 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 80 Commons Dr, Newport, VT 05855-4534 | 2006-10-17 |
| 1407936792 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 275 Washington St, Keene, NH 03431-2734 | 2006-10-17 |
| 1891875100 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 6 Robert Ave Unit 1, Portsmouth, NH 03801-5806 | 2006-10-17 |
| 1598845893 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 81 River St Ste 104, Montpelier, VT 05602-3792 | 2006-10-17 |
| 1528148814 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 160 Benmont Ave Ste 26, Bennington, VT 05201-1842 | 2006-10-17 |
| 1811077118 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 45 Green Mountain Dr Ste A, South Burlington, VT 05403-7824 | 2006-10-17 |
| 1700877206 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 240 Meriden Rd, Lebanon, NH 03766-2527 | 2005-11-03 |
| 1285904029 | Keene Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 101 Elm St, Nashua, NH 03060-6465 | 2012-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KEENE MEDICAL PRODUCTS, LLC | 5 Landing Rd, Enfield, NH 03748-3545 |
| Street Address |
397 RAILROAD ST STE B |
| City | SAINT JOHNSBURY |
| State | VT |
| Zip Code | 05819-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183533 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 181 Crawford Rd Rm 130, Derby, VT 05855-6405 | 2020-01-15 |
| 1295375434 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2225 Portland St Rm 160p, St Johnsbury, VT 05819-8635 | 2020-01-15 |
| 1134693104 | Regional Home Care | Durable Medical Equipment & Medical Supplies | 20 Kimball Ave Ste 305, South Burlington, VT 05403-6805 | 2019-01-14 |
| 1154892669 | Vermont Skin Specialist | Durable Medical Equipment & Medical Supplies | 105 Court St Ste 301, Middlebury, VT 05753-1475 | 2018-12-10 |
| 1235612169 | Green Mountain Medical Store LLC | Durable Medical Equipment & Medical Supplies | 46 Fox Run Rd, Essex Junction, VT 05452-2653 | 2018-09-06 |
| 1053898585 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 6 Green Tree Dr Unit 1, South Burlington, VT 05403-6025 | 2018-07-27 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1588180988 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 59 Waterfront Plz Ste 2, Newport, VT 05855-4877 | 2017-08-17 |
| 1730603374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 Us Rte 7 S, Milton, VT 05468 | 2017-07-26 |
| 1073036653 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 29 Main St Ste 31, Montpelier, VT 05602-3174 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHNSBURY |
| Zip Code | 05819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.