Provider Demographics
NPI:1265461511
Name:REID HOSPITAL & HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:REID HOSPITAL & HEALTH CARE SERVICES, INC
Other - Org Name:REID HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT - REID HOSPITAL
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:KINYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-983-3123
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-983-3307
Mailing Address - Fax:765-983-3106
Practice Address - Street 1:1100 REID PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1157
Practice Address - Country:US
Practice Address - Phone:765-983-3307
Practice Address - Fax:765-983-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05-005044-1273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7262751Medicaid
IN000000075193OtherBLUE CROSS REID HOSPITAL
IN100269700AMedicaid
IN15S048Medicare Oscar/Certification