Provider Demographics
NPI:1942282660
Name:RMA-OPERATING, INC.
Entity Type:Organization
Organization Name:RMA-OPERATING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMIEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-252-3212
Mailing Address - Street 1:83 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-7156
Mailing Address - Country:US
Mailing Address - Phone:270-527-8601
Mailing Address - Fax:270-527-9516
Practice Address - Street 1:83 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7156
Practice Address - Country:US
Practice Address - Phone:270-527-8601
Practice Address - Fax:270-527-9516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA354363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY95005518Medicaid
KY95005518Medicaid
KY596410Medicare UPIN