Provider Demographics
NPI:1427433366
Name:BEYOND PINK
Entity type:Organization
Organization Name:BEYOND PINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-780-5333
Mailing Address - Street 1:PO BOX 1758
Mailing Address - Street 2:
Mailing Address - City:NORTH SIOUX CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57049-1758
Mailing Address - Country:US
Mailing Address - Phone:605-780-5333
Mailing Address - Fax:605-780-5334
Practice Address - Street 1:560 RIVER DR
Practice Address - Street 2:
Practice Address - City:NORTH SIOUX CITY
Practice Address - State:SD
Practice Address - Zip Code:57049-3007
Practice Address - Country:US
Practice Address - Phone:605-780-5333
Practice Address - Fax:605-780-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier