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NPI Code Detail

MEDICARE: REID PHYSICIAN ASSOCIATES, INC.

MEDICARE: REID PHYSICIAN ASSOCIATES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2208000000XPediatrics Physician
3261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1326297284
Entity Type Code : Organization
Provider Name (Legal Business Name) : REID PHYSICIAN ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 1100 REID PKWY
Second Line : MEDICAL STAFF SERVICES
City : RICHMOND
State : IN
Zip : 47374-1157
Country : US
Telephone Number : 765-983-3127
Fax Number : 765-983-3219
Provider Business Practice Location Address
First Line : 1434 CHESTER BLVD
Second Line :
City : RICHMOND
State : IN
Zip : 47374-1947
Country : US
Telephone Number : 765-966-5527
Fax Number : 765-966-5528
Authorized Official
Title or Position : PRESIDENT
Name : MR. THOMAS HUTH
Credential : MD
Telephone Number : 765-983-3000
Provider Enumeration Date : 09/16/2008
Last Update Date : 11/21/2013

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Directions to “REID PHYSICIAN ASSOCIATES, INC. ” Practice Location

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