Organization
RIVERSIDE MEDICAL INC
Active
Other names
Quipt Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J CRAWFORD (CEO)
(859) 750-0018
Entity
Organization
Contact information
Practice address
275 EUREKA ST, SAVANNAH, TN 38372-3033
(731) 926-2677
(731) 926-2687
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
(859) 441-5850
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0122
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452119
—
TN
Enumeration date
06/01/2005
Last updated
02/15/2023
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