Organization
RIVERSIDE MEDICAL INC
Active
Other names
Quipt Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
3021 HIGHWAY 45 BYP STE 110, JACKSON, TN 38305-0601
(731) 660-0060
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/23/2021
Last updated
08/24/2021
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