Provider Demographics
NPI:1235469990
Name:TOTAL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:TOTAL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:DAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:651-765-4664
Mailing Address - Street 1:2499 RICE ST
Mailing Address - Street 2:150
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3724
Mailing Address - Country:US
Mailing Address - Phone:651-765-4664
Mailing Address - Fax:651-765-4994
Practice Address - Street 1:2499 RICE ST
Practice Address - Street 2:150
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3724
Practice Address - Country:US
Practice Address - Phone:651-765-4664
Practice Address - Fax:651-765-4994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL MEDICAL SERVICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346937251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health