Community MRI Services, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

COMMUNITY MRI SERVICES, LLC

Practice address

300 2ND Ave NE
Jamestown, ND 58401-3373

Phone

(701) 253-5800

Fax

(701) 253-5801

NPI assigned

Jul 22, 2006

Last updated

Dec 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel J Paulson

Title

Vice President

Phone

(701) 297-0305

Specialties & licenses 1

Addresses

Other identifiers 7

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1083635247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 32ND AVENUE S",
            "address_2": "SUITE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036278",
            "telephone_number": "701-297-0305",
            "fax_number": "701-235-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-253-5800",
            "fax_number": "701-253-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MRI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "701-297-0305"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11225",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORK COMP",
            "identifier": "141965701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1602882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BCBS",
            "identifier": "71085",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1026467",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "95D73CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordon Colbert
• Jeannine Kathleen Colburn
• Jessica Rose Colburn, OTDR/L
• Emily Coler Hanson, M.S., LMFT, CGP
• John D Collins, MD
• Lincoln D. Coombs, PSY.D.
• Gary Cornforth, DDS
• Cora Courage, PSYD
• Kylea Hansen Courage
• Covenant Care Incorporated

• Magnetic Resonance Imaging (MRI) Clinic/Center in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.