Provider Demographics
NPI:1164631560
Name:O.M.S. ASSOCIATES LTD
Entity Type:Organization
Organization Name:O.M.S. ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:701-488-2749
Mailing Address - Street 1:1512 147TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:ND
Mailing Address - Zip Code:58035-9415
Mailing Address - Country:US
Mailing Address - Phone:701-488-2749
Mailing Address - Fax:701-298-0853
Practice Address - Street 1:300 MAIN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1930
Practice Address - Country:US
Practice Address - Phone:701-232-9565
Practice Address - Fax:701-298-0853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR14071261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical