Healthcare Provider Details

I. General information

NPI: 1639272198
Provider Name (Legal Business Name): PATIENT AIDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CROSSING DRIVE
WILDER KY
41076
US

IV. Provider business mailing address

100 CROSSING DRIVE
WILDER KY
41076
US

V. Phone/Fax

Practice location:
  • Phone: 859-441-8876
  • Fax: 859-441-5850
Mailing address:
  • Phone: 859-441-8876
  • Fax: 859-441-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHMER22288
License Number StateOH

VIII. Authorized Official

Name: MR. GREG CRAWFORD
Title or Position: PRESIDENT
Credential:
Phone: 859-441-8876