Provider Demographics
NPI:1801464821
Name:ROSEHILL MEDICAL & PH
Entity type:Organization
Organization Name:ROSEHILL MEDICAL & PH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SKAIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA, MHA
Authorized Official - Phone:317-442-6386
Mailing Address - Street 1:303 E COURT AVE STE 434
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-9998
Mailing Address - Country:US
Mailing Address - Phone:317-442-6386
Mailing Address - Fax:450-954-1047
Practice Address - Street 1:303 E COURT AVE STE 434
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-9998
Practice Address - Country:US
Practice Address - Phone:317-442-6386
Practice Address - Fax:450-954-1047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1255960795Medicaid
IN1255960795Other01