Provider Demographics
NPI:1528140480
Name:BIMM
Entity type:Organization
Organization Name:BIMM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-519-1435
Mailing Address - Street 1:7300 LINCOLNSHIRE DR
Mailing Address - Street 2:STE 200B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2002
Mailing Address - Country:US
Mailing Address - Phone:916-391-1666
Mailing Address - Fax:916-391-1811
Practice Address - Street 1:2251 FLORIN RD
Practice Address - Street 2:STE 22
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4483
Practice Address - Country:US
Practice Address - Phone:916-391-1666
Practice Address - Fax:916-391-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)