Provider Demographics
NPI:1578236220
Name:THREE RIVERS DME LLC
Entity Type:Organization
Organization Name:THREE RIVERS DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:EILERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-684-5790
Mailing Address - Street 1:491 BALTIMORE PIKE # 371
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3810
Mailing Address - Country:US
Mailing Address - Phone:267-314-4349
Mailing Address - Fax:
Practice Address - Street 1:147 E SYCAMORE ST APT 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-1736
Practice Address - Country:US
Practice Address - Phone:412-584-9524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment