Provider Demographics
NPI:1386820843
Name:UNITED SECURITY & ALARM SYSTEMS, INC.
Entity Type:Organization
Organization Name:UNITED SECURITY & ALARM SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-732-0456
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:PARK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56470-0391
Mailing Address - Country:US
Mailing Address - Phone:218-732-0456
Mailing Address - Fax:218-732-6999
Practice Address - Street 1:19229 COUNTY 4
Practice Address - Street 2:
Practice Address - City:PARK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56470-6487
Practice Address - Country:US
Practice Address - Phone:218-732-0456
Practice Address - Fax:218-732-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4980368OtherMEDICA GRP #
MN445405700OtherMHCP ID