=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093531840
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAMSEY CONTRACTORS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2024
-----------------------------------------------------
Last Update Date | 11/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 415 NW 8TH AVE
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55744-2357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-999-9332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 415 NW 8TH AVE
-----------------------------------------------------
City | GRAND RAPIDS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55744-2357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-999-9332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | CASSIE YUENGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 218-999-9332
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171WH0202X
-----------------------------------------------------
Taxonomy Name | Home Modifications Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------