Provider Demographics
NPI:1962422766
Name:RCS MANAGEMENT CORP
Entity type:Organization
Organization Name:RCS MANAGEMENT CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:317-706-7374
Mailing Address - Street 1:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-1013
Mailing Address - Country:US
Mailing Address - Phone:317-706-7374
Mailing Address - Fax:317-706-7379
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WAUTOMA
Practice Address - State:WI
Practice Address - Zip Code:54982-5411
Practice Address - Country:US
Practice Address - Phone:800-760-5055
Practice Address - Fax:920-787-4158
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RCS MANAGEMENT CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41756700Medicaid
WI5041600003Medicare NSC
WI41756700Medicaid