Provider Demographics
NPI:1528365939
Name:DOMINION KAMPUNI, LLC
Entity Type:Organization
Organization Name:DOMINION KAMPUNI, LLC
Other - Org Name:DOMINION EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NJAMBI
Authorized Official - Middle Name:W
Authorized Official - Last Name:NJOROGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-801-7127
Mailing Address - Street 1:1131 ROCKINGHAM DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4354
Mailing Address - Country:US
Mailing Address - Phone:972-234-2911
Mailing Address - Fax:972-360-3262
Practice Address - Street 1:1131 ROCKINGHAM DR
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4354
Practice Address - Country:US
Practice Address - Phone:972-234-2911
Practice Address - Fax:972-360-3262
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
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)