REID PHYSICIAN ASSOCIATES, INC.; NPI #1154324630

Contact Information

REID PHYSICIAN ASSOCIATES, INC.

1154 S STATE ROAD 1 STE 1
CAMBRIDGE CITY, IN 47327-9472

Phone: 765-478-6108
Fax: 765-478-1243
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for REID PHYSICIAN ASSOCIATES, INC.

NPI Number 1154324630

LBN Legal business name REID PHYSICIAN ASSOCIATES, INC.

Authorized official CRAIG KINYON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2005

Last updated 06/09/2020 - About 6 years ago

Identifiers

IN	Medicaid	201210980
IN	Other	15-3896	OSCAR

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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