Healthcare Provider Details

I. General information

NPI: 1730186529
Provider Name (Legal Business Name): HIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 27TH ST NW
MANDAN ND
58554
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: 701-663-7527
Mailing address:
  • Phone: 701-663-0379
  • Fax: 701-663-7527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number314000000X
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier30225
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer
# 2
Identifier126717500
Identifier TypeMEDICAID
Identifier StateMN
Identifier Issuer
# 3
Identifier0167300
Identifier TypeMEDICAID
Identifier StateSD
Identifier Issuer

VIII. Authorized Official

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