Basic Information
Provider Information
NPI: 1588029094
EntityType: 2
ReplacementNPI:  
OrganizationName: REID HOSPITAL & HEALTH CARE SERVICES, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: REID HEALTH MEDICAL EQUIPMENT AND UNIFORMS GREENVILLE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 REID PKWY
Address2: ATTN: MEDICAL STAFF SERVICES
City: RICHMOND
State: IN
PostalCode: 473741157
CountryCode: US
TelephoneNumber: 7659833127
FaxNumber: 7659833219
Practice Location
Address1: 999 SWEITZER ST
Address2: SUITE A
City: GREENVILLE
State: OH
PostalCode: 453311090
CountryCode: US
TelephoneNumber: 9375484411
FaxNumber: 9375484411
Other Information
ProviderEnumerationDate: 12/28/2015
LastUpdateDate: 12/28/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KINYON
AuthorizedOfficialFirstName: CRAIG
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO, PRESIDENT
AuthorizedOfficialTelephone: 7659833127
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000XHMER.23444-HQAAOHY SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


Home