Provider Demographics
NPI:1316053416
Name:REGIONAL MEDICAL SERVICES INC
Entity type:Organization
Organization Name:REGIONAL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYNN
Authorized Official - Middle Name:P
Authorized Official - Last Name:VRABEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-487-8583
Mailing Address - Street 1:5424 W GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-1422
Mailing Address - Country:US
Mailing Address - Phone:315-487-8583
Mailing Address - Fax:315-487-6354
Practice Address - Street 1:5424 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-1422
Practice Address - Country:US
Practice Address - Phone:315-487-8583
Practice Address - Fax:315-487-6354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6039L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55157BOtherMEDICARE P10
SC600001199OtherRR MEDICARE
VTVN3143OtherMEDICARE