Healthcare Provider Details

I. General information

NPI: 1528140480
Provider Name (Legal Business Name): BIMM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 FLORIN RD STE 22
SACRAMENTO CA
95822-4483
US

IV. Provider business mailing address

7300 LINCOLNSHIRE DR STE 200B
SACRAMENTO CA
95823-2002
US

V. Phone/Fax

Practice location:
  • Phone: 916-391-1666
  • Fax: 916-391-1811
Mailing address:
  • Phone: 916-391-1666
  • Fax: 916-391-1811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA FIELDER
Title or Position: OWNER
Credential:
Phone: 916-519-1435