Provider Demographics
NPI:1780661264
Name:RGD ENTERPRISES INC
Entity Type:Organization
Organization Name:RGD ENTERPRISES INC
Other - Org Name:FOOT SOLUTIONS OF LANCASTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-569-4400
Mailing Address - Street 1:2044 FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3918
Mailing Address - Country:US
Mailing Address - Phone:717-569-4400
Mailing Address - Fax:717-569-6906
Practice Address - Street 1:2044 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3918
Practice Address - Country:US
Practice Address - Phone:717-569-4400
Practice Address - Fax:717-569-6906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01973225Medicaid
PA151061OtherTHREE RIVERS HEALTH PLANS
PA1457241OtherHIGHMARK BLUE SHIELD
PA1457241OtherHIGHMARK BLUE SHIELD