Provider Demographics
NPI:1164736633
Name:IPH SECURITY SYSTEMS, INC
Entity Type:Organization
Organization Name:IPH SECURITY SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:CUTTING
Authorized Official - Suffix:
Authorized Official - Credentials:DPSST PSID 31587
Authorized Official - Phone:541-469-7994
Mailing Address - Street 1:PO BOX 7074
Mailing Address - Street 2:706 6TH STREET
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415
Mailing Address - Country:US
Mailing Address - Phone:541-469-7994
Mailing Address - Fax:541-469-9359
Practice Address - Street 1:706 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-9651
Practice Address - Country:US
Practice Address - Phone:541-469-7994
Practice Address - Fax:541-469-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500607015OtherDMAP