Provider Demographics
NPI:1194598433
Name:PRECISION HEALTH MANAGEMENT INC
Entity type:Organization
Organization Name:PRECISION HEALTH MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHURANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-599-0035
Mailing Address - Street 1:PO BOX 286
Mailing Address - Street 2:
Mailing Address - City:TOPPING
Mailing Address - State:VA
Mailing Address - Zip Code:23169-0286
Mailing Address - Country:US
Mailing Address - Phone:804-599-0035
Mailing Address - Fax:804-286-9424
Practice Address - Street 1:46 MILBY LN
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:VA
Practice Address - Zip Code:23149-2627
Practice Address - Country:US
Practice Address - Phone:804-599-0035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)