Healthcare Provider Details

I. General information

NPI: 1225014764
Provider Name (Legal Business Name): TRI-STATE MEDICAL & BARIATRIC SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10480 LOVELAND MADEIRA RD
LOVELAND OH
45140-9338
US

IV. Provider business mailing address

10480 LOVELAND MADEIRA RD
LOVELAND OH
45140-9338
US

V. Phone/Fax

Practice location:
  • Phone: 513-677-8444
  • Fax: 513-677-0024
Mailing address:
  • Phone: 513-677-8444
  • Fax: 513-677-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number31-281655
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number31281655
License Number StateOH

VIII. Authorized Official

Name: MS. HELENE S HARMS
Title or Position: OWNER
Credential:
Phone: 513-677-8444