Basic Information
| Provider Information | |||||||||
| NPI: | 1538147285 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HAMILTONS HEALTH AID SERVICES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6000 WEBSTER ST | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454143434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372770088 | ||||||||
| FaxNumber: | 9372770089 | ||||||||
| Practice Location | |||||||||
| Address1: | 6000 WEBSTER ST | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454143434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372770088 | ||||||||
| FaxNumber: | 9372770089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2006 | ||||||||
| LastUpdateDate: | 08/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | ROBERTS | ||||||||
| AuthorizedOfficialFirstName: | KATHLEEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9372770088 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | 22092 | OH | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 0779199 | 05 | OH | MEDICAID | 51746 | 01 | OH | ABP | OTHER | 1024315 | 01 | OH | ACM/UHC | OTHER | 000000075265 | 01 | OH | ANTHEM | OTHER | 8220146 | 01 | OH | UHC | OTHER |