Provider Demographics
NPI:1598080202
Name:KREIDER SERVICES INCORPORATED
Entity Type:Organization
Organization Name:KREIDER SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARLAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-288-6691
Mailing Address - Street 1:500 ANCHOR RD
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-8829
Mailing Address - Country:US
Mailing Address - Phone:815-288-6691
Mailing Address - Fax:815-288-1636
Practice Address - Street 1:521 S WEST ST
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:IL
Practice Address - Zip Code:61036-2552
Practice Address - Country:US
Practice Address - Phone:815-777-9525
Practice Address - Fax:815-777-9599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)