Provider Demographics
NPI:1114211083
Name:D. JAMES THOMAS MINISTRIES INC
Entity Type:Organization
Organization Name:D. JAMES THOMAS MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-266-8055
Mailing Address - Street 1:121 HAZELTON ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-3135
Mailing Address - Country:US
Mailing Address - Phone:781-266-8055
Mailing Address - Fax:508-232-3220
Practice Address - Street 1:121 HAZELTON ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-3135
Practice Address - Country:US
Practice Address - Phone:781-266-8055
Practice Address - Fax:508-232-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization