Provider Demographics
NPI:1669878302
Name:JAMES RIVER SENIOR CITIZENS INC.
Entity type:Organization
Organization Name:JAMES RIVER SENIOR CITIZENS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SAHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-252-2882
Mailing Address - Street 1:PO BOX 1092
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58402-1092
Mailing Address - Country:US
Mailing Address - Phone:701-252-2882
Mailing Address - Fax:701-252-2529
Practice Address - Street 1:419 5TH ST NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3318
Practice Address - Country:US
Practice Address - Phone:701-252-2882
Practice Address - Fax:701-252-2529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND053084Medicaid