Basic Information
| Provider Information | |||||||||
| NPI: | 1518058924 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RELIANT CARE MEDICAL SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9200 WATSON RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631261528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145433800 | ||||||||
| FaxNumber: | 3145433880 | ||||||||
| Practice Location | |||||||||
| Address1: | 9200 WATSON RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631261528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145433800 | ||||||||
| FaxNumber: | 3145433880 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DUNDOO | ||||||||
| AuthorizedOfficialFirstName: | ASHWIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | GENERAL MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3145433803 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | X | Suppliers | Durable Medical Equipment & Medical Supplies | 332BN1400X | X | Suppliers | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | 332BP3500X | X | Suppliers | Durable Medical Equipment & Medical Supplies | Parenteral & Enteral Nutrition |
No ID Information.