Provider Demographics
NPI:1114905882
Name:HAMILTONS HEALTH AID SERVICES, INC.
Entity Type:Organization
Organization Name:HAMILTONS HEALTH AID SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-923-3300
Mailing Address - Street 1:142 E COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:FT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-5302
Mailing Address - Country:US
Mailing Address - Phone:260-471-5011
Mailing Address - Fax:260-471-5109
Practice Address - Street 1:142 E COLLINS RD
Practice Address - Street 2:
Practice Address - City:FT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-5302
Practice Address - Country:US
Practice Address - Phone:260-471-5011
Practice Address - Fax:260-471-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN163326Medicaid
IN7593OtherPHP
IN1024316OtherACM/UHC
IN270117OtherHARMONY
IN000000216355OtherANTHEM
IN51533OtherABP
OH2421623Medicaid
IN51533OtherABP
OH2421623Medicaid
IN163326Medicaid