Healthcare Provider Details

I. General information

NPI: 1346311768
Provider Name (Legal Business Name): PARAMED SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S MILL ST MILL ST MALL SUITE 102
RUSHFORD MN
55971-8824
US

IV. Provider business mailing address

44551 HILLVIEW DR
RUSHFORD MN
55971-5085
US

V. Phone/Fax

Practice location:
  • Phone: 507-864-3636
  • Fax: 507-864-3646
Mailing address:
  • Phone: 507-864-3636
  • Fax: 507-864-3646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number127215-4
License Number StateMN

VIII. Authorized Official

Name: MR. DARYL JAMES THOMPSON
Title or Position: PRESIDENT
Credential: RN
Phone: 507-864-3636