COMMUNITY MRI SERVICES, LLC (NPI# 1083635247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083635247 |
Entity Type | Organization |
Organization Name | COMMUNITY MRI SERVICES, LLC |
Practice Address |
300 2nd Ave Ne Jamestown ND 58401-3373 |
Mailing Address |
3223 32nd Avenue S Suite 201 Fargo ND 58103-6278 |
Practice Telephone | 7012535800 |
Practice Fax Number | 7012535801 |
Mailing Telephone | 7012970305 |
Mailing Fax Number | 7012359660 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2011-12-19 |
Authorized Official Name | DANIEL J PAULSON (VICE PRESIDENT) |
Authorized Official Telephone | 7012970305 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICA | 1602882 | 01 | |
RAILROAD MEDICARE | 470001119 | 01 | |
PREFERRED ONE | 1026467 | 01 | |
ND | ND BCBS | 71085 | 01 |
MN | MN BCBS | 95D73CO | 01 |
ND | 11225 | 05 | |
FEDERAL WORK COMP | 141965701 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023039278 | Community Mri Services, LLC | Clinic/Center | 1252 Washington Ave, Detroit Lakes, MN 56501-3928 | 2006-07-22 |
1598033755 | Community Mri Services, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 400, Billings, MT 59102-6756 | 2011-12-02 |
1386658052 | Community Mri Services, LLC | Clinic/Center | 110 N 37th St, Suite 302, Norfolk, NE 68701-3283 | 2006-07-28 |
1902852973 | Community Mri Services, LLC | Clinic/Center | 10 Missle Ave, Minot Afb, ND 58705-5003 | 2006-05-25 |
Street Address |
300 2ND AVE NE |
City | JAMESTOWN |
State | ND |
Zip Code | 58401-3373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063457752 | Paula M Marker | Physical Therapist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-06-18 |
1508489873 | Andrea Christine Boerger | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2020-05-21 |
1871079541 | Deanna Joyce Weiser | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2018-07-16 |
1568968394 | Rebecca Anne Kuss | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2018-04-02 |
1245742337 | Brady Wendell Anderson | Physician Assistant | 300 2nd Ave Ne, Jamestown, ND 58401 | 2017-10-29 |
1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
1316316821 | Joleen Sprenger | Counselor | 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 | 2015-09-15 |
1679956635 | Teresa Rittenbach | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-07-08 |
1669855151 | Taryn Nicole Boom | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2015-07-02 |
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---|---|---|---|---|
1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
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Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093920787 | Fentress Health Systems, LLC | Clinic/Center | 208 W Central Avenue, Jamestown, TN 38556 | 2007-05-14 |
1376546390 | Jamestown Imaging Management LLC | Clinic/Center | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2005-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659773125 | Open Mri of Grand Forks, LLC | Clinic/Center | 2820 19th Ave S, Grand Forks, ND 58201-5957 | 2014-09-16 |
1578674586 | Institute of Diagnostic Imaging, LLC | Clinic/Center | 2829 South University Drive, Suite 102, Fargo, ND 58103-6029 | 2006-08-31 |
1912270729 | Pain Treatment Center Anesthesiologists PC | Clinic/Center | 600 N 9th St, Suite 3, Bismarck, ND 58501-4107 | 2012-02-10 |
1912180142 | Dms Imaging Inc | Clinic/Center | 2101 University Dr N, Fargo, ND 58102-1816 | 2007-12-11 |
1902852973 | Community Mri Services, LLC | Clinic/Center | 10 Missle Ave, Minot Afb, ND 58705-5003 | 2006-05-25 |
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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.