Healthcare Provider Details

I. General information

NPI: 1942282660
Provider Name (Legal Business Name): RMA-OPERATING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 WELLNESS WAY
BENTON KY
42025-7156
US

IV. Provider business mailing address

83 WELLNESS WAY
BENTON KY
42025-7156
US

V. Phone/Fax

Practice location:
  • Phone: 270-527-8601
  • Fax: 270-527-9516
Mailing address:
  • Phone: 270-527-8601
  • Fax: 270-527-9516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA354
License Number StateKY

VIII. Authorized Official

Name: MR. DANE E. SCHMIEG
Title or Position: ADMINISTRATOR
Credential:
Phone: 270-252-3212