Keene Medical Products, LLC
Durable Medical Equipment & Medical Supplies in Gorham, NH. Organization (NPI-2).
NPI number1104906403
StatusActive
Last updated in NPPESMay 17, 2015
Details
- NPI
- 1104906403
- Entity type
- Organization (NPI-2)
- Legal business name
- Keene Medical Products, LLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- May 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Keene Medical Products, INC (Former Legal Business Name)
Practice location
603 Main StGorham, NH 03581-4903
Phone 603-752-7694
Mailing address
5 Landing RdEnfield, NH 03748-3545
Phone 603-448-5290
Authorized official
Scott D Eastman
Systems Administrator
6034485290
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