Provider Demographics
NPI:1538147285
Name:HAMILTONS HEALTH AID SERVICES, INC
Entity type:Organization
Organization Name:HAMILTONS HEALTH AID SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-0088
Mailing Address - Street 1:6000 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3434
Mailing Address - Country:US
Mailing Address - Phone:937-277-0088
Mailing Address - Fax:937-277-0089
Practice Address - Street 1:6000 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3434
Practice Address - Country:US
Practice Address - Phone:937-277-0088
Practice Address - Fax:937-277-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22092332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0779199Medicaid
OH51746OtherABP
OH1024315OtherACM/UHC
OH000000075265OtherANTHEM
OH8220146OtherUHC
OH8220146OtherUHC
OH=========002OtherCHAMPUS