Reid Physician Associates Inc

Organization Active NPI Radiology Clinic/Center · Cambridge City, IN

NPI 1689286973 · NPPES record last updated Aug 19, 2020

Key facts

NPI
1689286973
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 261QR0200X
Legal business name
REID PHYSICIAN ASSOCIATES INC
Practice address
1154 S State Road 1 Ste 2
Cambridge City, IN 47327-9513
Phone
(765) 478-4503
Fax
(765) 478-4504
NPI assigned
Aug 19, 2020
Organization subpart
No

Authorized official

Name
Misty Nash, CPCS
Title
Director
Phone
(765) 983-3127

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 427

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 427

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid Primary & Specialty Care - Cambridge City
Cambridge City, IN · CCN 153896
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201103000353 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406910769 Practice locations: Cambridge City, IN

National Provider Directory

Tax ID family
Reid Physician Assoc Inc (10 organizations share this tax ID)

Locations

1154 S State Road 1
Ste 2
Cambridge City, IN 47327
Phone (765) 478-4503

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Yes

Addresses

Primary practice location

1154 S State Road 1 Ste 2
Cambridge City, IN 47327-9513

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 478-4503

Other names

  • Reid Health X-Ray - Cambridge City Doing business as

Other providers in Cambridge City, IN

All providers in Cambridge City, IN · Radiology Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.