Healthcare Provider Details

I. General information

NPI: 1447169271
Provider Name (Legal Business Name): STRANDWORKS MEDICAL RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 ALLIE CT
BEREA KY
40403-8036
US

IV. Provider business mailing address

212 N 2ND ST
RICHMOND KY
40475-1408
US

V. Phone/Fax

Practice location:
  • Phone: 734-373-8171
  • Fax:
Mailing address:
  • Phone: 859-528-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN BOUREN
Title or Position: OWNER
Credential: PARAMEDIC
Phone: 734-373-8171