Healthcare Provider Details

I. General information

NPI: 1952693020
Provider Name (Legal Business Name): RILEY ARMSTRONG PLG & HTG, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 05/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NO. 20TH ST
FORT DODGE IA
50501
US

IV. Provider business mailing address

11 NO. 20TH ST
FORT DODGE IA
50501
US

V. Phone/Fax

Practice location:
  • Phone: 515-955-2232
  • Fax: 515-955-8794
Mailing address:
  • Phone: 515-955-2232
  • Fax: 515-955-8794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JACK RILEY
Title or Position: PRESIDENT
Credential:
Phone: 515-955-2232