Riverside Medical Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Savannah, TN
NPI 1962404129 · NPPES record last updated Feb 15, 2023
Key facts
- NPI
- 1962404129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 0122 (TN)
- Legal business name
- RIVERSIDE MEDICAL INC
- Practice address
- 275 Eureka St
Savannah, TN 38372-3033 - Phone
- (731) 926-2677
- Fax
- (731) 926-2687
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory J Crawford
- Title
- Ceo
- Phone
- (859) 750-0018
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Quipt Home Medical |
Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078218 | TN | DME Supplier - Medical Supply Company With Respiratory Therapist |
3072633296 | Practice locations: Savannah, TN |
National Provider Directory
- Tax ID family
- Riverside Medical Inc
Locations
275 Eureka St
Savannah, TN 38372
Phone (731) 926-2677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0122 | TN | Yes |
Addresses
Primary practice location
275 Eureka St
Savannah, TN 38372-3033
Mailing address
1019 Town Dr
Highland Heights, KY 41076-9114
Phone (859) 441-8876
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452119 | Medicaid | TN |
Other names
- Quipt Home Medical
Other providers in Savannah, TN
- David Riddell III
- Right Lead Therapy, LLC
- Leah L Rio
- Keith Risinger
- River City Convenient Care
- Leanna Roach
- Robert Darrin Hurst DPM West Tennessee Foot Clinic
- Robert Higginbottom
- Melissa Robinson
- Rogers Eye Center PC
All providers in Savannah, TN · Oxygen Equipment & Supplies (DME) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.