Provider Demographics
NPI:1811294143
Name:PATIENT SERVICES, INC.
Entity type:Organization
Organization Name:PATIENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF INFORMATION OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:804-672-4591
Mailing Address - Street 1:PO BOX 5930
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-0033
Mailing Address - Country:US
Mailing Address - Phone:804-744-3813
Mailing Address - Fax:804-744-5408
Practice Address - Street 1:3104 E BOUNDARY CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3932
Practice Address - Country:US
Practice Address - Phone:804-744-3813
Practice Address - Fax:804-744-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies