Basic Information
| Provider Information | |||||||||
| NPI: | 1891245312 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | KREIDER SERVICES,INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 ANCHOR RD | ||||||||
| Address2: | |||||||||
| City: | DIXON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610218829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8152886691 | ||||||||
| FaxNumber: | 8152881636 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 ANCHOR RD | ||||||||
| Address2: | |||||||||
| City: | DIXON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610218829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8152886691 | ||||||||
| FaxNumber: | 8152881636 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2016 | ||||||||
| LastUpdateDate: | 10/07/2016 | ||||||||
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| AuthorizedOfficialLastName: | OBRIEN | ||||||||
| AuthorizedOfficialFirstName: | TRINA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COMMUNITY SERVICES MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8152886691 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.