Active NPI
Tru Arch Inc
- Durable Medical Equipment & Medical Supplies
- Terre Haute, IN
National Provider Identifier
1962593400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRU ARCH INC
- Practice address
- 2307 S 3Rd St
Terre Haute, IN 47802 - Phone
- (812) 232-0910
- Fax
- (812) 232-0936
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan K Kidwell, C PED
- Title
- President
- Phone
- (812) 232-0910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2307 S 3Rd St
Terre Haute, IN 47802
Mailing address
2307 S 3Rd St
Terre Haute, IN 47802-3048
Phone (812) 232-0910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200464020A | Medicaid | IN | |
| 000000318389 | Other | IL | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930008733 | IN | DME Supplier - Medical Supply Company With Pedorthic Personnel | 8224244595 | Practice locations: Terre Haute, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tru Arch Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Tru Arch Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Evansville, IN
- NPI 1215362611
Locations
2307 S 3rd St
Terre Haute, IN 47802
Phone (812) 232-0910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1962593400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 S 3RD ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023048",
"telephone_number": "812-232-0910",
"fax_number": "812-232-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 S 3RD ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47802",
"telephone_number": "812-232-0910",
"fax_number": "812-232-0936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRU ARCH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "KIDWELL",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-232-0910",
"authorized_official_credential": "C PED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200464020A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000318389",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.