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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | HMER.23444-HQAA | OH | Y |   | Suppliers | Durable Medical Equipment & Medical Supplies |   |
No ID Information.