Provider Demographics
NPI:1467487553
Name:RITCH'S VITAL CARE OF BIRMINGHAM, INC.
Entity Type:Organization
Organization Name:RITCH'S VITAL CARE OF BIRMINGHAM, INC.
Other - Org Name:RITCH'S VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-871-1141
Mailing Address - Street 1:2714 CAHABA RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2304
Mailing Address - Country:US
Mailing Address - Phone:205-871-1141
Mailing Address - Fax:205-871-7439
Practice Address - Street 1:2714 CAHABA RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2304
Practice Address - Country:US
Practice Address - Phone:205-871-1141
Practice Address - Fax:205-871-7439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111224332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-43838OtherBCBS
AL1425655OtherUMWA
MS=========OtherBCBS
AL510-43838OtherBCBS
AL510-43838OtherBCBS