Healthcare Provider Details

I. General information

NPI: 1326979238
Provider Name (Legal Business Name): INTERNATIONAL TRAVEL AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N BROADWAY
MINOT ND
58703-1300
US

IV. Provider business mailing address

1901 N BROADWAY
MINOT ND
58703-1300
US

V. Phone/Fax

Practice location:
  • Phone: 701-852-6445
  • Fax:
Mailing address:
  • Phone: 701-852-6445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: RHONDA DEMAKIS
Title or Position: OWNER
Credential: DEMAKIS
Phone: 701-852-6445