Provider Demographics
NPI:1417254830
Name:ABUNDANCE OF MIRACLES PRAYER MINISTRIES, INC.
Entity Type:Organization
Organization Name:ABUNDANCE OF MIRACLES PRAYER MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZITTERKOPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-632-2530
Mailing Address - Street 1:2325 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2153
Mailing Address - Country:US
Mailing Address - Phone:308-632-2530
Mailing Address - Fax:
Practice Address - Street 1:2325 6TH AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2153
Practice Address - Country:US
Practice Address - Phone:308-632-2530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies