Provider Demographics
NPI:1073594388
Name:UNITED PATIENT CARE, INC.
Entity Type:Organization
Organization Name:UNITED PATIENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:VIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-644-8554
Mailing Address - Street 1:702 MILFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1403
Mailing Address - Country:US
Mailing Address - Phone:937-644-8554
Mailing Address - Fax:937-644-8656
Practice Address - Street 1:702 MILFORD AVENUE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1402
Practice Address - Country:US
Practice Address - Phone:937-644-8554
Practice Address - Fax:937-644-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEP33014332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0865596Medicaid
OH0294730001Medicare NSC