Provider Demographics
NPI:1376706952
Name:RMH MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:RMH MEDICAL GROUP LLC
Other - Org Name:SENTARA RMH ORTHOPEDICS DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL OPERATIONS EXEC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-564-5435
Mailing Address - Street 1:PO BOX 79777
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0777
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2509 PLEASANT RUN DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-8720
Practice Address - Country:US
Practice Address - Phone:540-689-5500
Practice Address - Fax:540-689-5501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENTARA RMH MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-03
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH1891332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7485180001Medicare NSC
1000870003Medicare NSC