Healthcare Provider Details

I. General information

NPI: 1033884978
Provider Name (Legal Business Name): HIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 04/17/2024
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 SUNSET DR
MANDAN ND
58554-1541
US

IV. Provider business mailing address

201 4TH AVE NW
MANDAN ND
58554-3135
US

V. Phone/Fax

Practice location:
  • Phone: 701-663-0379
  • Fax:
Mailing address:
  • Phone: 701-663-0376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MIKE REMBOLDT
Title or Position: CEO
Credential:
Phone: 701-663-0379