PRECISION PARAMEDIC SERVICES INC (NPI# 1952706053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952706053 |
Entity Type | Organization |
Organization Name | PRECISION PARAMEDIC SERVICES INC |
Practice Address |
105 4th Ave Ne Mandaree ND 58757 |
Practice Telephone | 3086609321 |
Enumeration Date | 2014-10-31 |
Last Update Date | 2015-05-08 |
Authorized Official Name | BENJI KITAGAWA (OWNER/PHYSICIAN) |
Authorized Official Telephone | 3086609321 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
149 | ND | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 56850 | 05 |
Street Address |
105 4TH AVE NE |
City | MANDAREE |
State | ND |
Zip Code | 58757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194106997 | Mandaree Community Clinic | Clinic/Center | 404 Ridge Road, Mandaree, ND 58757 | 2015-06-17 |
1063678779 | Three Affiliated Tribes Manadree Health Care Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 305 Main Street, Mandaree, ND 58757 | 2008-08-01 |
1851579858 | Three Affiliated Tribes Mandaree Health Care Center | Clinic/Center | 445 #2 School Street, Mandaree, ND 58757-0000 | 2008-02-01 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.