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1619748084 NPI number — RAND W DICKSON INTERSTATE MEDICAL TRANSPORT

NPI Number: 1619748084
Health Care Provider/Practitioner: RAND W DICKSON INTERSTATE MEDICAL TRANSPORT

Information about “1619748084” NPI (RAND W DICKSON INTERSTATE MEDICAL TRANSPORT) exists in 1619748084 in HTML format HTML  |  1619748084 in plain Text format TXT  |  1619748084 in PDF (Portable Document Format) PDF  |  1619748084 in an XML format XML  formats.

NPI Number : 1619748084 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619748084",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RAND W DICKSON INTERSTATE MEDICAL TRANSPORT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2458",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUREKA",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59917-2458",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-297-1627",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "600 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEER LODGE",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59722-1440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-691-9304",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/12/2024",
    "LastUpdateDate": "02/02/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DICKSON",
    "AuthorizedOfficialFirstName": "RAND",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "406-740-2646",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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