1811089782 NPI number — TRI MEDICAL REHAB SUPPLY CORP.

Table of content: (NPI 1811089782)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811089782 NPI number — TRI MEDICAL REHAB SUPPLY CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRI MEDICAL REHAB SUPPLY CORP.
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:
1811089782
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
179 SCOTLAND LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-652-5800
Provider Business Mailing Address Fax Number:
724-658-6298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
179 SCOTLAND LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-652-5800
Provider Business Practice Location Address Fax Number:
724-658-6298
Provider Enumeration Date:
09/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HITE
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-652-5800

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 62695 . This is a "UNISON OHIO" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0012738170005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 104246 . This is a "UPMC FOR YOU" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0900734 . This is a "OHMA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1811089782 . This is a "AETNA BETTER HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 48536 . This is a "GEISINGER FAMILY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1003865 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1003865 . This is a "GATEWAY" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 220687 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 62695 . This is a "UNITED HEALTHCARE FRIENDS AND FAMILY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com