Provider Demographics
NPI:1811089782
Name:TRI MEDICAL REHAB SUPPLY CORP.
Entity type:Organization
Organization Name:TRI MEDICAL REHAB SUPPLY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:HITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-652-5800
Mailing Address - Street 1:179 SCOTLAND LANE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101
Mailing Address - Country:US
Mailing Address - Phone:724-652-5800
Mailing Address - Fax:724-658-6298
Practice Address - Street 1:179 SCOTLAND LANE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101
Practice Address - Country:US
Practice Address - Phone:724-652-5800
Practice Address - Fax:724-658-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH62695OtherUNISON OHIO
PA0012738170005Medicaid
PA104246OtherUPMC FOR YOU
OH0900734OtherOHMA
PA1811089782OtherAETNA BETTER HEALTH
PA48536OtherGEISINGER FAMILY HEALTH PLAN
PA1003865OtherGATEWAY
OH1003865OtherGATEWAY
PA220687OtherBLUE CROSS BLUE SHIELD
PA62695OtherUNITED HEALTHCARE FRIENDS AND FAMILY
OH0900734OtherOHMA