Healthcare Provider Details

I. General information

NPI: 1447383898
Provider Name (Legal Business Name): REID HOSPITAL & HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 REID PKWY
RICHMOND IN
47374-1157
US

IV. Provider business mailing address

1100 REID PKWY
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-3123
  • Fax:
Mailing address:
  • Phone: 765-983-3123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number05-005044-1
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number05-005044-1
License Number StateIN

VIII. Authorized Official

Name: MR. CRAIG KINYON
Title or Position: PRESIDENT - REID HOSPITAL
Credential:
Phone: 765-983-3123