Healthcare Provider Details

I. General information

NPI: 1114860087
Provider Name (Legal Business Name): PAMELA REID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10546 147TH AVE NE
BATHGATE ND
58216-9600
US

IV. Provider business mailing address

PO BOX 628
PEMBINA ND
58271-0628
US

V. Phone/Fax

Practice location:
  • Phone: 701-521-5353
  • Fax:
Mailing address:
  • Phone: 701-521-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: