Provider Demographics
NPI:1447353826
Name:RMA - OPERATING, INC.
Entity type:Organization
Organization Name:RMA - OPERATING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WARNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-252-3212
Mailing Address - Street 1:83 WELLNESS WAY LN.
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-7156
Mailing Address - Country:US
Mailing Address - Phone:270-527-8601
Mailing Address - Fax:270-527-9615
Practice Address - Street 1:83 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-7156
Practice Address - Country:US
Practice Address - Phone:270-527-8601
Practice Address - Fax:270-527-9615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20835207Q00000X
KY18412207Q00000X
KY39144207Q00000X
KY5503P363LP2300X
KY4803P363LP2300X
KY4819P363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65935306Medicaid
KY65935306Medicaid