1861448409 NPI number — RHEES MEDICAL, INC.

Table of content: (NPI 1861448409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861448409 NPI number — RHEES MEDICAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHEES MEDICAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861448409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 953
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLIARD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43026-0953
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-876-6503
Provider Business Mailing Address Fax Number:
614-876-9188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5354 CEMETERY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLIARD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43026-1501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-876-6503
Provider Business Practice Location Address Fax Number:
614-876-9188
Provider Enumeration Date:
05/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RHEES
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
F
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
614-876-6503

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  25226170 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000155166 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0672179 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4498944 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".