=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346217965
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DIAL MEDICAL SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2006
-----------------------------------------------------
Last Update Date | 04/21/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9299 E STOCKTON BLVD SUITE 10
-----------------------------------------------------
City | ELK GROVE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95624-4097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-681-4949
-----------------------------------------------------
Fax | 916-681-4888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9299 E STOCKTON BLVD SUITE 10
-----------------------------------------------------
City | ELK GROVE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95624-4097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-681-4949
-----------------------------------------------------
Fax | 916-681-4888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. DAVID G DIAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 916-681-4949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 100000640
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------