Kriders Inc

LBN: Kriders Inc
Kriders Inc is an health care organization with primary practice located at 1119 W Mason St , Green Bay WI 54303-1895. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Kriders Inc can be contacted via phone (920) 499-6225, or through Krider, Gary Brian via phone (920) 499-6772.

Contact Information

Primary practice address
1119 W Mason St Green Bay WI 54303-1895
Phone: (920) 499-6225
Fax: (920) 499-4544
Website:
Map and Directions
Authorized official contact:
Name: Krider, Gary Brian RPH
Phone: (920) 499-6772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X Wisconsin

Profile Details

NPI number 1326023664
LBN Legal business name Kriders Inc
DBA Doing business as
Authorized official Krider, Gary Brian RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326023664 NPPES
Wisconsin MEDICAID 33090100

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